Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TARAS WALTER SPIVAK, O.D.
Active Sole ProprietorDR. TARAS WALTER SPIVAK, O.D. is a Corneal & Contact Management Optometrist healthcare provider located in CLAYTON, New Jersey. NPI 1770589889 is currently active in the NPPES registry. Verify at CMS.
Corneal & Contact Management Optometrist · CLAYTON, NJ
Registration Details
- NPI Number
- 1770589889
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 23, 2005 (21.172719871382 yrs)
- Last Updated
- Dec 19, 2010
- License
-
27OA00290500 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
128 N DELSEA DRCLAYTON, NJ, 083121602Browse NJ providers · Browse ZIP 08312
- Phone
- 8568814089
- Fax
- 8568814013
- Primary Specialty
-
Corneal & Contact Management Optometrist
152WC0802X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.