Provider Demographics
NPI:1821285743
Name:PARAMUS CONTACT ASSOCIATES
Entity Type:Organization
Organization Name:PARAMUS CONTACT ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AGGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RENNER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:201-265-5737
Mailing Address - Street 1:106 PARAMUS PARK MALL
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-3527
Mailing Address - Country:US
Mailing Address - Phone:201-265-5737
Mailing Address - Fax:201-265-3267
Practice Address - Street 1:106 PARAMUS PARK MALL
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-3527
Practice Address - Country:US
Practice Address - Phone:201-265-5737
Practice Address - Fax:201-265-3267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-25
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00453100152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ084047Medicare UPIN