Individual
DR. TERRYLEE MAIMONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7000 BOULEVARD EAST, GUTTENBERG, NJ 07093-4818
(201) 854-3489
(201) 854-3298
Mailing address
503 WILLIAMS CT, EDGEWATER, NJ 07020-1630
(201) 703-8644
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
—
223828037
PHCS
NJ
01
—
2319156
UNITED HEALTHCARE
NJ
01
—
2K3806
HEALTHNET
NJ
01
—
4495272
CIGNA
NJ
01
—
518967
AETNA
NJ
01
—
5452503
CCN
NJ
01
—
555558
CLARITY VISION
NJ
05
—
6018700
—
NJ
01
—
C228E1
EMPIRE BCBS
NJ
01
—
P2865102
OXFORD
NJ
01
—
TM23689
SPECTERA
NJ
Enumeration date
06/09/2005
Last updated
04/02/2014
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