Individual
DR. NICHOLAS MICHAEL KAVCSAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
416 FRONT ST, BELVIDERE, NJ 07823-1512
(908) 475-5757
Mailing address
416 FRONT ST, BELVIDERE, NJ 07823-1512
(908) 475-5757
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4142/TO 00091
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071306B1L
MEDICARE BILLING NO.
NJ
05
—
1D2216809
—
NJ
01
—
222426325
BLUE CROSS BLUE SHIELD
NJ
01
—
488992
AETNA
NJ
01
—
7061030
CIGNA
NJ
Enumeration date
09/20/2005
Last updated
06/30/2008
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