Organization
NUTLEY VISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELENA VITENZON O.D. (DOCTOR/OWNER)
(862) 208-2245
Entity
Organization
Contact information
Practice address
214 FRANKLIN AVE., NUTLEY, NJ 07110
(862) 208-2245
(862) 208-2245
Mailing address
214 FRANKLIN AVE., NUTLEY, NJ 07110
(862) 208-2245
(862) 208-2245
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
27OA00592900
NJ
Other
Enumeration date
05/10/2017
Last updated
05/10/2017
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