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Organization

INDEPENDENT THERAPEUTIC DOCTORS OF OPTOMETRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DIEGO X MORILLO OD (OPTOMETRIST)
(201) 206-3409
Entity
Organization

Contact information

Practice address
2100 PARAMUS PARK MALL, PARAMUS, NJ 07652-3546
(201) 291-9136
Mailing address
2100 PARAMUS PARK MALL, PARAMUS, NJ 07652-3546
(201) 291-9136

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27AO00566203
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09560
OPTUMHEALTH
01
57373
DAVIS VISION
05
827708
NJ
01
OP1793
EYEMED
Enumeration date
09/14/2009
Last updated
09/14/2009
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