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Nutley Vision LLC

NPI 1497304984ActiveOrganization· Optometrist· Nutley, NJ

Optometrist in Nutley, New Jersey, registered in NPPES in September 2019. The authorized official on file is Elena Vitenzon, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1497304984
StatusActive
Entity typeOrganization
NPI issuedSep 6, 2019
Last updated in NPPESSep 6, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (NJ)

Medicare sources and data years

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