Dr John Thomas Nutaitis, OD | |
1206 Route 72 W, Manahawkin, NJ 08050-2414 | |
(609) 597-8087 | |
(609) 597-7192 |
Full Name | Dr John Thomas Nutaitis |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 1206 Route 72 W, Manahawkin, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194775635 | NPI | - | NPPES |
3467007 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 27OA00492101 (New Jersey) | Primary |
Provider Name | Southern Shores Eye Center, P.a. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669421194 PECOS PAC ID: 4981683711 Enrollment ID: O20040715001060 |
Mailing Address | Practice Location Address |
---|---|
Dr John Thomas Nutaitis, OD 1206 Route 72 W, Manahawkin, NJ 08050-2414 Ph: (609) 597-8087 | Dr John Thomas Nutaitis, OD 1206 Route 72 W, Manahawkin, NJ 08050-2414 Ph: (609) 597-8087 |
John M Garfield, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 525 Route 72 W, Walmart Vision Ctr, Manahawkin, NJ 08050 Phone: 609-978-7266 | |
Janice Kulba, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 525 Route 72 W, Walmart Vision Center, Manahawkin, NJ 08050 Phone: 609-978-7266 | |
Jonathan J Dorn, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1206 Route 72 W, Manahawkin, NJ 08050 Phone: 609-597-8087 Fax: 609-597-7192 | |
Southern Shores Eye Center, P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 1206 Route 72 W, Manahawkin, NJ 08050 Phone: 609-597-8087 Fax: 609-597-7192 | |
Eyesf First Vision Center Optometrist Medicare: Medicare Enrolled Practice Location: 733 Route 72 W, Manahawkin, NJ 08050 Phone: 609-597-0250 Fax: 609-597-0252 |