Provider Demographics
NPI:1851512859
Name:DELIA M FERRER O D P A
Entity Type:Organization
Organization Name:DELIA M FERRER O D P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DELIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:FERRER GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:973-472-2828
Mailing Address - Street 1:1160 MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07011-2251
Mailing Address - Country:US
Mailing Address - Phone:973-472-2828
Mailing Address - Fax:973-472-2838
Practice Address - Street 1:1160 MAIN AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07011-2251
Practice Address - Country:US
Practice Address - Phone:973-472-2828
Practice Address - Fax:973-472-2838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00511700152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4584708Medicaid
NJ4584708Medicaid
NJU19815Medicare UPIN