Active NPIIndividual providerSole proprietor

Diego X Morillo, OD

Optometrist in Newark, New Jersey

NPI Number1811059785
Practice location
875 Broad St, Newark, NJ 07102-2622
Fax
973-622-5919
Last updated
April 10, 2008

Diego Xavier Morillo is an Optometrist based in Newark, NJ. Diego Xavier Morillo practices in Newark, NJ and has the professional credentials of OD. The NPI Number for Diego Xavier Morillo is 1811059785 and holds a License No. 27oa00566203 (NJ). The current practice location address for Diego Xavier Morillo is 875 Broad St, Newark, NJ 07102-2622 and can be reached out via phone at 973-622-4492 and via fax at 973-622-5919.

Provider Profile Details

NPI Number
1811059785
Provider Name
Diego Xavier Morillo
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
875 Broad St, Newark, NJ 07102-2622
Phone Number
973-622-4492
Fax Number
973-622-5919
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 15, 2006
Last Update Date
April 10, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
875 Broad St
Newark, NJ 07102-2622
City
Newark
Zip
07102-2622
Phone Number
973-622-4492
Fax Number
973-622-5919
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
1386 Alps RD
Wayne, NJ 07470-3604
City
Wayne
State
NJ
Zip
07470-3604
Phone Number
973-872-6650
Fax Number
201-712-9838

License Information

License Number
27oa00566203
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 Diego X Morillo, OD?

The NPI number of Diego X Morillo, OD is 1811059785. It was assigned on December 15, 2006 and is currently active in the NPPES registry.

What is the specialty of Diego X Morillo, OD?

Diego X Morillo, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 27oa00566203.

Where does Diego X Morillo, OD practice?

The practice location is 875 Broad St, Newark, NJ 07102-2622. The office can be reached at 973-622-4492 (phone) or 973-622-5919 (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 1811059785 directly on the NPPES registry website.

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