Ethan Skylar Vogel, OD | |
1455 Broad St Ste 110, Bloomfield, NJ 07003-3039 | |
(973) 779-0808 | |
(973) 471-1929 |
Full Name | Ethan Skylar Vogel |
---|---|
Gender | Male |
Speciality | Optometrist - Corneal And Contact Management |
Location | 1455 Broad St Ste 110, Bloomfield, 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 |
---|---|---|---|
1902678220 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152WC0802X | Optometrist - Corneal And Contact Management | 27OA00725300 (New Jersey) | Primary |
Provider Name | New Jersey Vision Associates Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659370575 PECOS PAC ID: 3476658063 Enrollment ID: O20070410000165 |
Mailing Address | Practice Location Address |
---|---|
Ethan Skylar Vogel, OD 1455 Broad St Ste 110, Bloomfield, NJ 07003-3039 Ph: (973) 779-0808 | Ethan Skylar Vogel, OD 1455 Broad St Ste 110, Bloomfield, NJ 07003-3039 Ph: (973) 779-0808 |
Kaitlyn Elizabeth Kolzow, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 108 Broughton Ave, Bloomfield, NJ 07003 Phone: 973-743-1331 | |
Anuradha P Rana, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1255 Broad St, Bloomfield, NJ 07003 Phone: 973-338-7575 | |
Dr. Shrabanti Goswami, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1255 Broad St, Bloomfield, NJ 07003 Phone: 973-338-7575 | |
Eye Centers Of America, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1255 Broad St Ste 104, Bloomfield, NJ 07003 Phone: 973-707-7057 | |
Charles M. Cummins, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1255 Broad St, Bloomfield, NJ 07003 Phone: 973-338-7575 Fax: 973-338-5158 | |
Dr. Alma Gabriela Regnault, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1255 Broad St, Bloomfield, NJ 07003 Phone: 973-338-7575 | |
Manar Doughouz, OD Optometrist Medicare: Medicare Enrolled Practice Location: 108 Broughton Ave, Bloomfield, NJ 07003 Phone: 973-743-1331 Fax: 973-743-6577 |