Provider Demographics
NPI:1235125113
Name:ROMEU, MADELINE L (OD)
Entity Type:Individual
Prefix:DR
First Name:MADELINE
Middle Name:L
Last Name:ROMEU
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6408 BERGENLINE AVE
Mailing Address - Street 2:
Mailing Address - City:WEST NEW YORK
Mailing Address - State:NJ
Mailing Address - Zip Code:07093-1660
Mailing Address - Country:US
Mailing Address - Phone:201-868-3603
Mailing Address - Fax:201-868-4074
Practice Address - Street 1:6408 BERGENLINE AVE
Practice Address - Street 2:
Practice Address - City:WEST NEW YORK
Practice Address - State:NJ
Practice Address - Zip Code:07093-1660
Practice Address - Country:US
Practice Address - Phone:201-868-3603
Practice Address - Fax:201-868-4074
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-26
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00365600152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4549634OtherAETNA
NJP625333OtherOXFORD
NJ222292763OtherHORIZON HEALTHCARE
NJ222292763OtherPACS
NJ2969602OtherNJ MEDICAID
NJ6416662OtherCIGNA
NJ222292763OtherUNITED HEALTHCARE
NJ2K6954OtherHEALTHNET
NJ36372OtherAETNA
NJ222292763OtherVISION SERVICE PLAN
NJ808OtherDAVIS VISION
NJ521520Medicare UPIN
NJ2969602OtherNJ MEDICAID
NJP625333OtherOXFORD