Provider Demographics
NPI:1841315199
Name:KAPILOFF, ELLEN (OPTOMETRIC PHYSICIAN)
Entity type:Individual
Prefix:DR
First Name:ELLEN
Middle Name:
Last Name:KAPILOFF
Suffix:
Gender:F
Credentials:OPTOMETRIC PHYSICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 PARSIPPANY RD
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-5192
Mailing Address - Country:US
Mailing Address - Phone:973-386-0111
Mailing Address - Fax:973-386-1984
Practice Address - Street 1:415 PARSIPPANY RD
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-5192
Practice Address - Country:US
Practice Address - Phone:973-386-0111
Practice Address - Fax:973-386-1984
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2014-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00523000152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist