Innovision Optometry Nj Pc | |
63 W Pleasant Ave, Maywood, NJ 07607-1334 | |
(201) 845-4700 | |
Not Available |
Full Name | Innovision Optometry Nj Pc |
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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 |
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1922608728 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Ketan Harshadray Kutlerywala |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1497861033 PECOS PAC ID: 1254598592 Enrollment ID: I20201014001612 |
Mailing Address | Practice Location Address |
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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 |