Organization
TERRYLEE MAIMONE O.D, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRYLEE MAIMONE O.D (OWNER)
(201) 703-2922
Entity
Organization
Contact information
Practice address
32-01 BROADWAY, FAIR LAWN, NJ 07410-4616
(201) 703-2922
(201) 791-6626
Mailing address
32-01 BROADWAY, FAIR LAWN, NJ 07410-4616
(201) 703-2922
(201) 791-6626
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00490500
NJ
152WV0400X
Vision Therapy Optometrist
27TO00040600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
177820
CHN
NJ
01
—
2099723
FIRST HEALTH
NJ
01
—
2319156
UNITED HEALTHCARE
NJ
01
—
2K3806
HEALTHNET
NJ
01
—
4495272
CIGNA
NJ
01
—
518967
AETNA
NJ
01
—
5452503
CCN
NJ
05
—
6018700
—
NJ
01
—
C228E1
EMPIRE BCBS
NJ
01
—
P2865102
OXFORD
NJ
Enumeration date
06/28/2007
Last updated
04/20/2008
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