Organization
MORILLO EYE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIEGO MORILLO (PRESIDENT)
(201) 206-3409
Entity
Organization
Contact information
Practice address
875 BROAD ST, NEWARK, NJ 07102-2622
(973) 622-4492
Mailing address
875 BROAD ST, NEWARK, NJ 07102-2622
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
27OA00566200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29726
SPECTERA
—
01
—
4492662
VISION SERVICE PLAN
—
01
—
52588
DAVIS VISION
—
05
—
8277508
—
NJ
Enumeration date
11/19/2008
Last updated
11/19/2008
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