Individual
SPIRO ANTONACOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
582 CENTRAL AVE, EAST ORANGE, NJ 07018-1936
(973) 673-7700
(973) 674-3943
Mailing address
64 FOREST HILL RD, WEST ORANGE, NJ 07052-4518
(973) 669-9888
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00511900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4997000
—
NJ
Enumeration date
03/29/2007
Last updated
06/20/2008
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