Dr. Jacob Bedzrah, OD
Optometrist in Rockaway, New Jersey
1023586179- Practice location
- 301 Mount Hope Ave, Rockaway, NJ 07866-2130
- Phone
- 973-668-3579
- Fax
- 973-442-1777
- Last updated
- February 8, 2019
Jacob Bedzrah is an Optometrist based in Rockaway, NJ. Jacob Bedzrah practices in Rockaway, NJ and has the professional credentials of OD. The NPI Number for Jacob Bedzrah is 1023586179 and holds a License No. 008908 (NY). The current practice location address for Jacob Bedzrah is 301 Mount Hope Ave, Rockaway, NJ 07866-2130 and can be reached out via phone at 973-668-3579 and via fax at 973-442-1777.
Provider Profile Details
- NPI Number
- 1023586179
- Provider Name
- Jacob Bedzrah
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 301 Mount Hope Ave, Rockaway, NJ 07866-2130
- Phone Number
- 973-668-3579
- Fax Number
- 973-442-1777
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 7, 2018
- Last Update Date
- February 8, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 301 Mount Hope Ave
Rockaway, NJ 07866-2130 - City
- Rockaway
- State
- New Jersey
- Zip
- 07866-2130
- Phone Number
- 973-668-3579
- Fax Number
- 973-442-1777
Provider Business Mailing Address Details
- Address
- 99 Longview St
West Orange, NJ 07052-4857 - City
- West Orange
- State
- NJ
- Zip
- 07052-4857
- Phone Number
- 973-901-5042
License Information
- License Number (1)
- 008908
- License State (1)
- NY
- Taxonomy (1)
- Optometrist · 152W00000X
- License Number (2)
- 27OA00684500
- License State (2)
- NJ
- Taxonomy (2)
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Optometrists near Rockaway, NJ
View all Optometrists in Rockaway →Frequently Asked Questions
What is the NPI number of Dr. Jacob Bedzrah, OD?
The NPI number of Dr. Jacob Bedzrah, OD is 1023586179. It was assigned on November 7, 2018 and is currently active in the NPPES registry.
What is the specialty of Dr. Jacob Bedzrah, OD?
Dr. Jacob Bedzrah, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NY under license number 008908.
Where does Dr. Jacob Bedzrah, OD practice?
The practice location is 301 Mount Hope Ave, Rockaway, NJ 07866-2130. The office can be reached at 973-668-3579 (phone) or 973-442-1777 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023586179 directly on the NPPES registry website.