Organization
OPTIKA EYECARE, INC.
Active
Other names
Kinnelon Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIKI PATELLIS O.D. (OWNER)
(973) 838-8190
Entity
Organization
Contact information
Practice address
25 KINNELON RD, KINNELON, NJ 07405-2337
(973) 838-8190
(973) 838-3230
Mailing address
25 KINNELON RD, KINNELON, NJ 07405-2337
(973) 838-8190
(973) 838-3230
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00520400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0672440001
DME MAC JURISDICTION A
NJ
01
—
150665995
INSURANCE DESIGN ADMINIST
NJ
01
—
150665995
PHCS
—
01
—
3571408
AETNA U.S. HEALTHCARE
NJ
01
—
DC9724
RAILROAD MEDICARE
NJ
01
—
OK9793
HEALTH NET
NJ
01
—
P2391973
OXFORD HEALTH PLAN
NJ
Enumeration date
12/05/2006
Last updated
01/05/2010
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