Active NPIOrganization

Ophthalmology Of Montclair Limited Liability Company

Ophthalmology in Montclair, New Jersey

NPI Number1912047713
Practice location
33 N Fullerton Ave, 1ST Floor, Montclair, NJ 07042-3412
Fax
973-509-6069
Last updated
August 27, 2007

Ophthalmology Of Montclair Limited Liability Company is a healthcare organization based in Montclair, NJ. Ophthalmology Of Montclair Limited Liability Company practices in Montclair, NJ. The NPI Number for Ophthalmology Of Montclair Limited Liability Company is 1912047713 and holds a License No. 25MA07491800 (NJ). The current practice location address for Ophthalmology Of Montclair Limited Liability Company is 33 N Fullerton Ave, 1ST Floor, Montclair, NJ 07042-3412 and can be reached out via phone at 973-509-6039 and via fax at 973-509-6069.

Provider Profile Details

NPI Number
1912047713
Provider Name
Ophthalmology Of Montclair Limited Liability Company
Provider Entity Type
Organization
Address
33 N Fullerton Ave, 1ST Floor, Montclair, NJ 07042-3412
Phone Number
973-509-6039
Fax Number
973-509-6069
Primary Taxonomy
Ophthalmology · 207W00000X
Organization Subpart
No
Authorized Official
Dr. Kathryn Phyllis Childs, MD · Owner · 973-509-6039
Provider Enumeration Date
February 8, 2007
Last Update Date
August 27, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
33 N Fullerton Ave
1ST Floor
Montclair, NJ 07042-3412
Zip
07042-3412
Phone Number
973-509-6039
Fax Number
973-509-6069
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
33 N Fullerton Ave
1ST Floor
Montclair, NJ 07042-3412
City
Montclair
State
NJ
Zip
07042-3412
Phone Number
973-509-6039
Fax Number
973-509-6069

License Information

License Number
25MA07491800
License State
NJ
Taxonomy
Ophthalmology · 207W00000X · 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 Ophthalmology Of Montclair Limited Liability Company?

The NPI number of Ophthalmology Of Montclair Limited Liability Company is 1912047713. It was assigned on February 8, 2007 and is currently active in the NPPES registry.

What is the specialty of Ophthalmology Of Montclair Limited Liability Company?

Ophthalmology Of Montclair Limited Liability Company is registered under the primary taxonomy Ophthalmology (code 207W00000X), licensed in NJ under license number 25MA07491800.

Where does Ophthalmology Of Montclair Limited Liability Company practice?

The practice location is 33 N Fullerton Ave, 1ST Floor, Montclair, NJ 07042-3412. The office can be reached at 973-509-6039 (phone) or 973-509-6069 (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 1912047713 directly on the NPPES registry website.

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