| Northwest Optometry Group, P.a. | |
|
117 Sparta Ave, Sparta, NJ 07871-1773 | |
| (973) 729-9199 | |
| (973) 729-9260 |
| Full Name | Northwest Optometry Group, P.a. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 117 Sparta Ave, Sparta, 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 |
|---|---|---|---|
| 1801853254 | NPI | - | NPPES |
| 331420102 | Medicaid | NJ | |
| 331420106 | Medicaid | NJ | |
| 331420104 | Medicaid | NJ | |
| CD9470 | Other | RAILROAD MEDICARE | |
| 331420105 | Medicaid | NJ | |
| 331420103 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Bernard Mullin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487650354 PECOS PAC ID: 6204858947 Enrollment ID: I20100114000285 |
| Provider Name | Diane L Fabery |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619957594 PECOS PAC ID: 1951437151 Enrollment ID: I20100326000675 |
| Provider Name | Ernest M Staehle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114189214 PECOS PAC ID: 7517094782 Enrollment ID: I20100420000272 |
| Provider Name | Lisa Ruffle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710235478 PECOS PAC ID: 1850549957 Enrollment ID: I20120914000308 |
| Provider Name | Elena Alicia Martinez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093166290 PECOS PAC ID: 7810280294 Enrollment ID: I20160722000081 |
| Provider Name | Anna K Neff |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326685314 PECOS PAC ID: 6406280130 Enrollment ID: I20200106000295 |
| Provider Name | Marc Peter Otto |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720413552 PECOS PAC ID: 1052535143 Enrollment ID: I20201124001727 |
| Provider Name | Smita Govilla |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043987175 PECOS PAC ID: 9335539295 Enrollment ID: I20220822000003 |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Optometry Group, P.a. 117 Sparta Ave, Sparta, NJ 07871-1773 Ph: (973) 729-9199 | Northwest Optometry Group, P.a. 117 Sparta Ave, Sparta, NJ 07871-1773 Ph: (973) 729-9199 |
Eyedeal Eyecare Pc Optometrist Medicare: Medicare Enrolled Practice Location: 328b Sparta Ave, Sparta, NJ 07871 Phone: 973-604-2020 | |
Elena Martinez, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 117 Sparta Ave, Sparta, NJ 07871 Phone: 973-726-0669 | |
Dr. Ernest Michael Staehle, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 117 Sparta Ave, Sparta, NJ 07871 Phone: 215-873-7826 | |
S&d Optical Optometrist Medicare: Medicare Enrolled Practice Location: 21 Lafayette Rd Ste C, Sparta, NJ 07871 Phone: 973-729-7755 | |
Dr. Kruti Navin Shah, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 350 Sparta Ave, Sparta, NJ 07871 Phone: 203-558-8016 | |
Dr. Glenn Alan Neufeld, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4 Main St, Sparta, NJ 07871 Phone: 973-726-9679 Fax: 973-726-9606 | |
Chaulaben Patel, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 21 Lafayette Rd Ste C, Sparta, NJ 07871 Phone: 973-729-7755 |