Provider Demographics
NPI:1922561315
Name:SCHWARTZ, NAOMI (OD)
Entity Type:Individual
Prefix:
First Name:NAOMI
Middle Name:
Last Name:SCHWARTZ
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 1:135 PATRICIA PL
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07012-1856
Mailing Address - Country:US
Mailing Address - Phone:312-550-4571
Mailing Address - Fax:
Practice Address - Street 1:2010 MORRIS AVE
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-6014
Practice Address - Country:US
Practice Address - Phone:908-258-0739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-11
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00685600152W00000X
NJ27OM00153200152W00000X
NJ270A00685600152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist