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OMEGA MEDICAL GROUP P.C. NPI 1720223084


NPI Information

NPI: 1720223084
Provider Name: OMEGA MEDICAL GROUP, P.C.
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
665 FRANKLIN AVE
NUTLEY, NJ
ZIP 07110
Phone: (973) 667-4008
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OMEGA MEDICAL GROUP, P.C. is an ophthalmology in Nutley, NJ. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. OMEGA MEDICAL GROUP, P.C. NPI is 1720223084. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

665 FRANKLIN AVE
NUTLEY, NJ
ZIP 07110-209
Phone: (973) 667-4008

The provider's authorized official is Ligaya Prystowsky .
The authorized official title is President and has the following contact phone number (973) 667-4008.

The enumeration date for this NPI number is 12/15/2008 and was last updated on 12/15/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyMA041850NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1452776TQ0MEDICARE PINNEW JERSEY
2C55374MEDICARE UPINNEW JERSEY
31582003MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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