DR. TARAS WALTER SPIVAK (NPI# 1770589889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770589889 |
| Entity Type | Individual |
| Full Name | DR. TARAS WALTER SPIVAK |
| Credential | O.D. |
| Practice Address |
128 N Delsea Dr Clayton NJ 08312-1602 |
| Practice Telephone | 8568814089 |
| Practice Fax Number | 8568814013 |
| Mailing Telephone | 8568814089 |
| Mailing Fax Number | 8568814013 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2010-12-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
27OA00290500 | NJ | Eye and Vision Services Providers |
| Street Address |
128 N DELSEA DR |
| City | CLAYTON |
| State | NJ |
| Zip Code | 08312-1602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669982153 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 East Clayton Avenue, Clayton, NJ 08312 | 2017-10-10 |
| 1083053409 | Traciey Juanita Coats | Technician | 222 North Dennis Drive, Clayton, NJ 08312 | 2013-06-19 |
| 1073853404 | Clayton Borough Board of Education | Local Education Agency (LEA) | 350 E Clinton St, Clayton, NJ 08312-1200 | 2013-02-21 |
| 1740881200 | Guylante Jeune | Nurse Practitioner | 121 E Howard St, Clayton, NJ 08312-1237 | 2020-11-02 |
| 1447882618 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 147 W Academy St, Clayton, NJ 08312-1435 | 2020-02-06 |
| 1568512010 | Helping Hand Behavioral Health Corp. | Clinic/Center | 25 Pop Kramer Blvd, Clayton, NJ 08312-1500 | 2007-01-10 |
| 1770085532 | Helping Hand Behavioral Health Corp | Clinic/Center | 25 Pop Kramer Blvd, Clayton, NJ 08312-1500 | 2018-03-07 |
| 1700284734 | Helping Hand Behavioral Health Corp | Clinic/Center | 25 Pop Kramer Blvd, Clayton, NJ 08312-1500 | 2014-12-08 |
| 1568867802 | Helping Hand Behavioral Health Corp | Clinic/Center | 25 Pop Kramer Blvd, Clayton, NJ 08312-1500 | 2014-10-29 |
| 1801108998 | Jennifer Nicole Warriner | Pharmacist | 13 N Delsea Dr, Clayton, NJ 08312-1637 | 2010-07-06 |
| Find all providers in zip 08312 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326527292 | Beyond 20 20 Family Eye Care Inc | Optometrist | 579 Cranbury Rd Ste I, East Brunswick, NJ 08816-5405 | 2018-08-10 |
| 1255887964 | Wayne Optometric Associates LLC | Optometrist | 1595-2 Rt. 23 So., Wayne, NJ 07470-7508 | 2016-09-01 |
| 1326319948 | Better Sight Inc | Optometrist | 436 Main St., C/o Sears Optical, Hackensack, NJ 07601 | 2012-01-13 |
| 1851624605 | Rachel Landa Langer | Optometrist | 616 New Bridge Rd, Teaneck, NJ 07666 | 2009-09-11 |
| 1215164991 | James Edward Lacotte | Optometrist | 311 Main Street, Madison, NJ 07940-1814 | 2009-06-19 |
| 1538387485 | Pompton Eye and Vision Care, L.L.C. | Optometrist | 496 Newark Pompton Tpke, Pompton Plains, NJ 07444-1930 | 2007-04-23 |
| 1992828099 | Sharon Carol Stein | Optometrist | 315 State Highway 15 North, Wharton, NJ 07885 | 2007-04-06 |
| 1508983354 | Daniel H. Isaac | Optometrist | 1032 Cherry Hill Mall, Cherry Hill, NJ 08002-2100 | 2007-03-26 |
| 1801910740 | Ehrenworth & Goldsmith | Optometrist | 151 Union Blvd, Totowa, NJ 07512-2602 | 2007-03-18 |
| 1629192620 | Paul D Difiore | Optometrist | 3223 Route 38, Mount Laurel, NJ 08054-9746 | 2007-03-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.