Organization
MAIMONE VISION ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRYLEE MAIMONE OD (PRESIDENT)
(973) 685-7280
Entity
Organization
Contact information
Practice address
1135 MAIN AVE, CLIFTON, NJ 07011-2353
(973) 685-7280
Mailing address
27 DEVONSHIRE DR, CLIFTON, NJ 07013-2662
(973) 685-7280
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2319156
UNITED HEALTHCARE
NJ
01
—
2K3806
HEALTHNET
NJ
01
—
518967
AETNA
NJ
05
—
6018700
—
NJ
Enumeration date
04/01/2008
Last updated
03/21/2017
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