Super Vision Llc | |
461 Central Ave, Jersey City, NJ 07307-2740 | |
(201) 420-0101 | |
(201) 420-1123 |
Full Name | Super Vision Llc |
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Type | Facility |
Speciality | Optometrist |
Location | 461 Central Ave, Jersey City, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295038552 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 27OA00615400 (New Jersey) | Primary |
Provider Name | Sunny Mukul Raithatha |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1679240329 PECOS PAC ID: 0042698425 Enrollment ID: I20220526001792 |
Mailing Address | Practice Location Address |
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Super Vision Llc 461 Central Ave, Jersey City, NJ 07307-2740 Ph: (201) 420-0101 | Super Vision Llc 461 Central Ave, Jersey City, NJ 07307-2740 Ph: (201) 420-0101 |
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