MEDICARE: DR. ELIOT MILSKY O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	TUV007285	NY
2	152W00000X	Optometrist	27OM00068900	NJ
3	152WC0802X	Corneal and Contact Management Optometrist	27OA00614800	NJ
4	152WL0500X	Low Vision Rehabilitation Optometrist	27OA00614800	NJ
5	152WP0200X	Pediatric Optometrist	27OA00614800	NJ
6	152WV0400X	Vision Therapy Optometrist	27OM00068900	NJ
7	152WX0102X	Occupational Vision Optometrist	27OA00614800	NJ

General Provider Information

NPI Number	:	1437311446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIOT MILSKY O.D.

Provider Business Mailing Address
First Line	:	73 SHERWOOD RD
Second Line	:
City	:	SPRINGFIELD
State	:	NJ
Zip	:	07081-2522
Country	:	US
Telephone Number	:	732-202-0393
Fax Number	:

Provider Business Practice Location Address
First Line	:	ONE SPRING STREET
Second Line	:	UNIT 101, PATERSON STREET ENTRANCE
City	:	NEW BRUNSWICK
State	:	NJ
Zip	:	08901-2276
Country	:	US
Telephone Number	:	732-202-0393
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2008
Last Update Date	:	08/27/2015

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