Dr. Ashley Laico Boulos, OD
Optometrist in Clifton, New Jersey
1215394945- Practice location
- 1430 Main Ave, Clifton, NJ 07011-2146
- Phone
- 800-530-2730
- Fax
- —
- Last updated
- January 26, 2016
Ashley Laico Boulos is an Optometrist based in Clifton, NJ. Ashley Laico Boulos practices in Clifton, NJ and has the professional credentials of OD. The NPI Number for Ashley Laico Boulos is 1215394945 and holds a License No. 27OA00661700 (NJ). The current practice location address for Ashley Laico Boulos is 1430 Main Ave, Clifton, NJ 07011-2146 and can be reached out via phone at 800-530-2730.
Provider Profile Details
- NPI Number
- 1215394945
- Provider Name
- Ashley Laico Boulos
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1430 Main Ave, Clifton, NJ 07011-2146
- Phone Number
- 800-530-2730
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 26, 2016
- Last Update Date
- January 26, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1430 Main Ave
Clifton, NJ 07011-2146 - City
- Clifton
- State
- New Jersey
- Zip
- 07011-2146
- Phone Number
- 800-530-2730
Provider Business Mailing Address Details
- Address
- 1430 Main Ave
Clifton, NJ 07011-2146 - City
- Clifton
- State
- NJ
- Zip
- 07011-2146
- Phone Number
- 800-530-2730
License Information
- License Number (1)
- 27OA00661700
- License State (1)
- NJ
- Taxonomy (1)
- Optometrist · 152W00000X · Primary
- License Number (2)
- OEG003087
- License State (2)
- PA
- Taxonomy (2)
- Optometrist · 152W00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dr. Ashley Laico Boulos, OD?
The NPI number of Dr. Ashley Laico Boulos, OD is 1215394945. It was assigned on January 26, 2016 and is currently active in the NPPES registry.
What is the specialty of Dr. Ashley Laico Boulos, OD?
Dr. Ashley Laico Boulos, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 27OA00661700.
Where does Dr. Ashley Laico Boulos, OD practice?
The practice location is 1430 Main Ave, Clifton, NJ 07011-2146. The office can be reached at 800-530-2730 (phone).
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 1215394945 directly on the NPPES registry website.