Active NPIOrganization

Broadway Vision Services INC.

Optometrist in Newark, New Jersey

NPI Number1073721817
Practice location
59 Broadway, Newark, NJ 07104-2503
Fax
973-484-3868
Last updated
May 16, 2013

Broadway Vision Services INC. is a healthcare organization based in Newark, NJ. Broadway Vision Services INC. practices in Newark, NJ. The NPI Number for Broadway Vision Services INC. is 1073721817 and holds a License No. 27OA00509100 (NJ). The current practice location address for Broadway Vision Services INC. is 59 Broadway, Newark, NJ 07104-2503 and can be reached out via phone at 972-268-2565 and via fax at 973-484-3868.

Provider Profile Details

NPI Number
1073721817
Provider Name
Broadway Vision Services INC.
Provider Entity Type
Organization
Address
59 Broadway, Newark, NJ 07104-2503
Phone Number
972-268-2565
Fax Number
973-484-3868
Primary Taxonomy
Optometrist · 152W00000X
Organization Subpart
No
Authorized Official
Dr. Chinwendu Anukwuem, OD · Owner · 973-268-2565
Provider Enumeration Date
May 17, 2007
Last Update Date
May 16, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
59 Broadway
Newark, NJ 07104-2503
City
Newark
Zip
07104-2503
Phone Number
972-268-2565
Fax Number
973-484-3868
Newark, NJ 07104Get directions →

Provider Business Mailing Address Details

Address
59 Broadway
Newark, NJ 07104-2503
City
Newark
State
NJ
Zip
07104-2503
Phone Number
972-268-2565
Fax Number
973-484-3868

License Information

License Number
27OA00509100
License State
NJ
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Broadway Vision Services INC.?

The NPI number of Broadway Vision Services INC. is 1073721817. It was assigned on May 17, 2007 and is currently active in the NPPES registry.

What is the specialty of Broadway Vision Services INC.?

Broadway Vision Services INC. is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 27OA00509100.

Where does Broadway Vision Services INC. practice?

The practice location is 59 Broadway, Newark, NJ 07104-2503. The office can be reached at 972-268-2565 (phone) or 973-484-3868 (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 1073721817 directly on the NPPES registry website.

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