Organization
INNOVISION OPTOMETRY NJ PC
Active
Other names
Elite Vision Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KETAN KUTLERYWALA (PRESIDENT)
(845) 541-9689
Entity
Organization
Contact information
Practice address
63 W PLEASANT AVE, MAYWOOD, NJ 07607-1334
(201) 845-4700
Mailing address
310 WINDSOR HWY, NEW WINDSOR, NY 12553-6908
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/29/2020
Last updated
11/03/2020
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