Dp 17 Optometric Associates
Optometrist in Paramus, NJ. Organization (NPI-2).
NPI number1912384652
StatusActive
Last updated in NPPESMay 1, 2015
Details
- NPI
- 1912384652
- Entity type
- Organization (NPI-2)
- Legal business name
- Dp 17 Optometric Associates
- Organization subpart
- No
- Enumeration date
- May 1, 2015
- Last updated
- May 1, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 27040552800 | NJ | Yes |
Practice location
494 N Rte 17Paramus, NJ 07652-3012
Phone 201-599-1102 · Fax 201-599-1202
Mailing address
494 N Rte 17Paramus, NJ 07652-3012
Phone 201-599-1102 · Fax 201-599-1202
Authorized official
Michelle Fraser
Optometrist
2015991102
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