Active NPIIndividual providerSole proprietor

Spiro Antonacos

Optometrist in East Orange, New Jersey

NPI Number1174643688
Practice location
582 Central Ave, East Orange, NJ 07018-1936
Fax
973-674-3943
Last updated
June 20, 2008

Spiro Antonacos is an Optometrist based in East Orange, NJ. Spiro Antonacos practices in East Orange, NJ. The NPI Number for Spiro Antonacos is 1174643688 and holds a License No. 27OA00511900 (NJ). The current practice location address for Spiro Antonacos is 582 Central Ave, East Orange, NJ 07018-1936 and can be reached out via phone at 973-673-7700 and via fax at 973-674-3943.

Provider Profile Details

NPI Number
1174643688
Provider Name
Spiro Antonacos
Provider Entity Type
Individual
Gender
Male
Address
582 Central Ave, East Orange, NJ 07018-1936
Phone Number
973-673-7700
Fax Number
973-674-3943
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 29, 2007
Last Update Date
June 20, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
582 Central Ave
East Orange, NJ 07018-1936
Zip
07018-1936
Phone Number
973-673-7700
Fax Number
973-674-3943
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
64 Forest Hill RD
West Orange, NJ 07052-4518
City
West Orange
State
NJ
Zip
07052-4518
Phone Number
973-669-9888

License Information

License Number
27OA00511900
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 Spiro Antonacos?

The NPI number of Spiro Antonacos is 1174643688. It was assigned on March 29, 2007 and is currently active in the NPPES registry.

What is the specialty of Spiro Antonacos?

Spiro Antonacos is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 27OA00511900.

Where does Spiro Antonacos practice?

The practice location is 582 Central Ave, East Orange, NJ 07018-1936. The office can be reached at 973-673-7700 (phone) or 973-674-3943 (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 1174643688 directly on the NPPES registry website.

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