Mariel Joselin Mata, OD | |
1009 Saint Georges Ave, Colonia, NJ 07067-4049 | |
(732) 634-8600 | |
Not Available |
Full Name | Mariel Joselin Mata |
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Gender | Female |
Speciality | Optometrist |
Location | 1009 Saint Georges Ave, Colonia, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1023847316 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 27OA00731100 (New Jersey) | Primary |
Provider Name | Deyongs Eyeworld Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396012910 PECOS PAC ID: 8527490051 Enrollment ID: O20191121000341 |
Mailing Address | Practice Location Address |
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Mariel Joselin Mata, OD 128 W 3rd St, Clifton, NJ 07011-2412 Ph: () - | Mariel Joselin Mata, OD 1009 Saint Georges Ave, Colonia, NJ 07067-4049 Ph: (732) 634-8600 |
Deyong's Eyeworld Llc Optometrist Medicare: Medicare Enrolled Practice Location: 1009 Saint Georges Ave, Colonia, NJ 07067 Phone: 732-634-8600 | |
Dr. Alan Jay Deyong, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1009 St. Georges Avenue, Colonia, NJ 07067 Phone: 732-634-8600 Fax: 732-283-0263 | |
Alan Zastrow, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1009 Saint Georges Ave, Colonia, NJ 07067 Phone: 732-634-8600 |