Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TANYA MIKITCHENKO, O.D.
Active Sole ProprietorTANYA MIKITCHENKO, O.D. is a Optometrist healthcare provider located in SPARTA, New Jersey. NPI 1902219033 is currently active in the NPPES registry. Verify at CMS.
Optometrist · SPARTA, NJ
Registration Details
- NPI Number
- 1902219033
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 5, 2014 (12.176732481321 yrs)
- Last Updated
- Dec 28, 2021
- Licenses
-
008131 (NY)27OA00710300 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
328B SPARTA AVESPARTA, NJ, 078711167Browse NJ providers · Browse ZIP 07871
- Phone
- 9736042020
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in SPARTA, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. STEPHEN ALAN KOWALSKY | OD | 1700880341 |
| DR. JEFFREY F. CLAUSS | O.D. | 1871573709 |
| DR. DIANE L. FABERY | O.D. | 1619957594 |
| KRISTIN GALLO RUSSO | O.D. | 1770683559 |
| DR. GLENN ALAN NEUFELD | O.D. | 1457431868 |
| DR. ERNEST MICHAEL STAEHLE | O.D. | 1114189214 |
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.