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General NPI Number Information
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NPI Number | 1609934207
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Entity Type | Organization
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Legal Business Name | OPTIKA EYECARE, INC.
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 01/05/2010
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Provider Practice Location Address
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Address Line | 25 KINNELON RD
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City | KINNELON
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State | NJ
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Zip | 07405-2337
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Country | US
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Telephone | 973-838-8190
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Fax | 973-838-3230
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Provider Business Mailing Address
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Address Line | 25 KINNELON RD
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City | KINNELON
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State | NJ
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Zip | 07405-2337
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Country | US
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Telephone | 973-838-8190
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Fax | 973-838-3230
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Authorized Official
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Title or Position | OWNER
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Name | DR. NIKI PATELLIS
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Credential | O.D.
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Telephone | 973-838-8190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 27OA00520400
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License Number State | NJ
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Legacy Identifiers
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Identifier #1
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Identifier Code | 150665995
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Identifier Type | OTHER
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Identifier State | NJ
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Identifier Issuer | INSURANCE DESIGN ADMINIST
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Identifier #2
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Identifier Code | 150665995
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Identifier Type | OTHER
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Identifier State |
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Identifier Issuer | PHCS
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Identifier #3
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Identifier Code | OK9793
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Identifier Type | OTHER
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Identifier State | NJ
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Identifier Issuer | HEALTH NET
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Identifier #4
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Identifier Code | 150665995
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Identifier Type | OTHER
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Identifier State | NJ
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Identifier Issuer | WELLCHOICE OF NJ
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Identifier #5
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Identifier Code | P2391973
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Identifier Type | OTHER
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Identifier State | NJ
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Identifier Issuer | OXFORD HEALTH PLAN
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Identifier #6
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Identifier Code | P2391973
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Identifier Type | OTHER
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Identifier State | NJ
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Identifier Issuer | OXFORD HEALTH
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Identifier #7
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Identifier Code | 3571408
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Identifier Type | OTHER
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Identifier State | NJ
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Identifier Issuer | AETNA U.S. HEALTHCARE
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Identifier #8
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Identifier Code | DC9724
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Identifier Type | OTHER
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Identifier State | NJ
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Identifier Issuer | RAILROAD MEDICARE
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Identifier #9
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Identifier Code | 0672440001
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Identifier Type | OTHER
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Identifier State | NJ
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Identifier Issuer | DME MAC JURISDICTION A
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Proprietary Identifiers Ever Reported
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Identifier #1
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Identifier Code | 0672440001
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Identifier Type | OTHER
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Identifier State | NJ
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Identifier Issuer | DME MAC JURISDICTION A
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Identifier #2
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Identifier Code | 150665995
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Identifier Type | OTHER
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Identifier State |
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Identifier Issuer | PHCS
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Identifier #3
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Identifier Code | 150665995
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Identifier Type | OTHER
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Identifier State | NJ
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Identifier Issuer | INSURANCE DESIGN ADMINIST
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Identifier #4
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Identifier Code | 150665995
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Identifier Type | OTHER
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Identifier State | NJ
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Identifier Issuer | WELLCHOICE OF NJ
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Identifier #5
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Identifier Code | 3571408
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Identifier Type | OTHER
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Identifier State | NJ
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Identifier Issuer | AETNA U.S. HEALTHCARE
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Identifier #6
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Identifier Code | DC9724
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Identifier Type | OTHER
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Identifier State | NJ
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Identifier Issuer | RAILROAD MEDICARE
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Identifier #7
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Identifier Code | OK9793
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Identifier Type | OTHER
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Identifier State | NJ
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Identifier Issuer | HEALTH NET
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Identifier #8
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Identifier Code | P2391973
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Identifier Type | OTHER
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Identifier State | NJ
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Identifier Issuer | OXFORD HEALTH
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Identifier #9
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Identifier Code | P2391973
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Identifier Type | OTHER
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Identifier State | NJ
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Identifier Issuer | OXFORD HEALTH PLAN
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