NPI 1194775635

John Thomas Nutaitis, OD

Practitioner Optometrist Manahawkin, NJ

Practice location

Address: 1206 Route 72 W, Manahawkin, NJ 08050-2414
Phone: (609) 597-8087
Fax: (609) 597-7192

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 27OA00492101 (NJ)

Other Optometrist providers in New Jersey →

Registry record

NPI: 1194775635
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 May 2006
Record last updated: 9 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.