Provider Demographics
NPI:1316021140
Name:KRAVITZ, ARTHUR F (OD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:F
Last Name:KRAVITZ
Suffix:
Gender:M
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:PO BOX 252
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-0252
Mailing Address - Country:US
Mailing Address - Phone:908-624-1552
Mailing Address - Fax:908-624-1736
Practice Address - Street 1:900 SPRINGFIELD RD
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-8617
Practice Address - Country:US
Practice Address - Phone:908-624-1552
Practice Address - Fax:908-624-1736
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ270A00512100152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
708550Medicare ID - Type Unspecified
U27771Medicare UPIN