MEDICARE: PARAMUS CONTACT VISION, INC

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	27OA00412700	NJ

General Provider Information

NPI Number	:	1538341326
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARAMUS CONTACT VISION, INC

Provider Business Mailing Address
First Line	:	1 GARDEN STATE PLZ
Second Line	:
City	:	PARAMUS
State	:	NJ
Zip	:	07652-2417
Country	:	US
Telephone Number	:	201-712-0888
Fax Number	:	201-712-0890

Provider Business Practice Location Address
First Line	:	1 GARDEN STATE PLZ
Second Line	:
City	:	PARAMUS
State	:	NJ
Zip	:	07652-2417
Country	:	US
Telephone Number	:	201-712-0888
Fax Number	:	201-712-0890

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KENNETH IRA ESKOW
Credential	:	O.D.
Telephone Number	:	201-712-0888

Provider Enumeration Date	:	12/04/2007
Last Update Date	:	12/04/2007

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