Active NPIIndividual providerSole proprietor

Dr. Elena Vitenzon, OD

Optometrist in Nutley, New Jersey

NPI Number1043311962
Practice location
216 Franklin Ave, Nutley, NJ 07110-2709
Fax
973-542-1103
Last updated
July 8, 2007

Elena Vitenzon is an Optometrist based in Nutley, NJ. Elena Vitenzon practices in Nutley, NJ and has the professional credentials of OD. The NPI Number for Elena Vitenzon is 1043311962 and holds a License No. 27OA00592900 (NJ). The current practice location address for Elena Vitenzon is 216 Franklin Ave, Nutley, NJ 07110-2709 and can be reached out via phone at 973-542-1105 and via fax at 973-542-1103.

Provider Profile Details

NPI Number
1043311962
Provider Name
Elena Vitenzon
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
216 Franklin Ave, Nutley, NJ 07110-2709
Phone Number
973-542-1105
Fax Number
973-542-1103
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 25, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
216 Franklin Ave
Nutley, NJ 07110-2709
City
Nutley
Zip
07110-2709
Phone Number
973-542-1105
Fax Number
973-542-1103
Nutley, NJ 07110Get directions →

Provider Business Mailing Address Details

Address
45 Jefferson Ave
Tenafly, NJ 07670-1931
City
Tenafly
State
NJ
Zip
07670-1931
Phone Number
201-266-4208
Fax Number
973-542-1103

License Information

License Number
27OA00592900
License State
NJ
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Elena Vitenzon, OD?

The NPI number of Dr. Elena Vitenzon, OD is 1043311962. It was assigned on September 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Elena Vitenzon, OD?

Dr. Elena Vitenzon, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 27OA00592900.

Where does Dr. Elena Vitenzon, OD practice?

The practice location is 216 Franklin Ave, Nutley, NJ 07110-2709. The office can be reached at 973-542-1105 (phone) or 973-542-1103 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043311962 directly on the NPPES registry website.

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