| Innovision Optometry Nj Pc | |
|
63 W Pleasant Ave, Maywood, NJ 07607-1334 | |
| (201) 845-4700 | |
| Not Available |
| Full Name | Innovision Optometry Nj Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 63 W Pleasant Ave, Maywood, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922608728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Ketan Harshadray Kutlerywala |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497861033 PECOS PAC ID: 1254598592 Enrollment ID: I20201014001612 |
| Mailing Address | Practice Location Address |
|---|---|
| Innovision Optometry Nj Pc 310 Windsor Hwy, New Windsor, NY 12553-6908 Ph: () - | Innovision Optometry Nj Pc 63 W Pleasant Ave, Maywood, NJ 07607-1334 Ph: (201) 845-4700 |
Charles M Shiel, OD Optometrist Medicare: Medicare Enrolled Practice Location: 63 W Pleasant Ave, Maywood, NJ 07607 Phone: 201-845-4700 Fax: 201-845-4474 | |
Dr. Ketan Harshadray Kutlerywala, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 63 W Pleasant Ave, Maywood, NJ 07607 Phone: 201-845-4700 | |
Peter Heesung Yoon, OD Optometrist Medicare: Medicare Enrolled Practice Location: 63 W Pleasant Ave, Maywood, NJ 07607 Phone: 201-845-4700 |