Active NPIOrganization

Ag Vision Care LLC

Optometrist in Newark, New Jersey

NPI Number1801456967
Practice location
787 Broad St, Newark, NJ 07102-3717
Fax
—
Last updated
June 19, 2019

Ag Vision Care LLC is a healthcare organization based in Newark, NJ. Ag Vision Care LLC practices in Newark, NJ. The NPI Number for Ag Vision Care LLC is 1801456967. The current practice location address for Ag Vision Care LLC is 787 Broad St, Newark, NJ 07102-3717 and can be reached out via phone at 973-810-5540.

Provider Profile Details

NPI Number
1801456967
Provider Name
Ag Vision Care LLC
Provider Entity Type
Organization
Address
787 Broad St, Newark, NJ 07102-3717
Phone Number
973-810-5540
Primary Taxonomy
Optometrist · 152W00000X
Organization Subpart
No
Authorized Official
Dr. Paul Obasuyi, OD · Optometrist · 973-810-5540
Other Names
Ag Vision Care LLC (Other Name)
Provider Enumeration Date
June 19, 2019
Last Update Date
June 19, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
787 Broad St
Newark, NJ 07102-3717
City
Newark
Zip
07102-3717
Phone Number
973-810-5540
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
9 Wakeman St
West Orange, NJ 07052-2114
City
West Orange
State
NJ
Zip
07052-2114
Phone Number
347-866-6331

License Information

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 Ag Vision Care LLC?

The NPI number of Ag Vision Care LLC is 1801456967. It was assigned on June 19, 2019 and is currently active in the NPPES registry.

What is the specialty of Ag Vision Care LLC?

Ag Vision Care LLC is registered under the primary taxonomy Optometrist (code 152W00000X).

Where does Ag Vision Care LLC practice?

The practice location is 787 Broad St, Newark, NJ 07102-3717. The office can be reached at 973-810-5540 (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 1801456967 directly on the NPPES registry website.

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