Individual
JEFFREY STEVEN ZLOTNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5 DEVON RD, EDISON, NJ 08820-2640
(732) 742-1954
(732) 549-3259
Mailing address
5 DEVON RD, EDISON, NJ 08820-2640
(732) 742-1954
(732) 549-3259
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27 OA 00289000
NJ
152W00000X
Optometrist
27 OM 00012400
NJ
152WC0802X
Corneal and Contact Management Optometrist
27 OA 00289000
NJ
152WL0500X
Low Vision Rehabilitation Optometrist
27 OA 00289000
NJ
152WP0200X
Pediatric Optometrist
27 OA 00289000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0939200-01
—
NJ
01
—
226222938
FEDERAL ID #
NJ
01
—
48557
AETNA #
NJ
01
—
P822470
OXFORD #
NJ
Enumeration date
09/19/2005
Last updated
11/20/2018
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