| Ioe Vision Care Llc | |
|
9 Wakeman St, West Orange, NJ 07052-2114 | |
| (347) 866-6331 | |
| Not Available |
| Full Name | Ioe Vision Care Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 9 Wakeman St, West Orange, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164938346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 27OA00651300 (New Jersey) | Primary |
| Provider Name | Paul Obasuyi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730463118 PECOS PAC ID: 3173786712 Enrollment ID: I20200311000289 |
| Mailing Address | Practice Location Address |
|---|---|
| Ioe Vision Care Llc 9 Wakeman St, West Orange, NJ 07052-2114 Ph: (347) 866-6331 | Ioe Vision Care Llc 9 Wakeman St, West Orange, NJ 07052-2114 Ph: (347) 866-6331 |
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