Individual
DIEGO XAVIER MORILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
875 BROAD ST, NEWARK, NJ 07102-2622
(973) 622-4492
(973) 622-5919
Mailing address
1386 ALPS RD, WAYNE, NJ 07470-3604
(973) 872-6650
(201) 712-9838
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00566203
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2428558
AETNA
NJ
01
—
29726
SPECTERA INSURANCE
NJ
01
—
52588
DAVIS VISION INSURANCE
NJ
05
—
8277508
—
NJ
01
—
OP1793
EYEMED INSURANCE
NJ
Enumeration date
12/15/2006
Last updated
04/10/2008
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