| Truway Vision Care Pa | |
|
311 Main St, Orange, NJ 07050-3607 | |
| (973) 673-5773 | |
| (973) 673-5794 |
| Full Name | Truway Vision Care Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 311 Main St, 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 |
|---|---|---|---|
| 1043387178 | NPI | - | NPPES |
| 7455801 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 27OA00549800 (New Jersey) | Primary |
| Provider Name | Stellamaria N Korieocha |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154468973 PECOS PAC ID: 1658320981 Enrollment ID: I20050113000665 |
| Mailing Address | Practice Location Address |
|---|---|
| Truway Vision Care Pa 311 Main St, Orange, NJ 07050-3607 Ph: (973) 673-5773 | Truway Vision Care Pa 311 Main St, Orange, NJ 07050-3607 Ph: (973) 673-5773 |
Dr. Stellamaria Ngozi Korieocha, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 311 Main St, Orange, NJ 07050 Phone: 973-673-5773 Fax: 973-673-5794 | |
Dr. Daniel Desrivieres Odpc Optometrist Medicare: Medicare Enrolled Practice Location: 32 N Day St, Orange, NJ 07050 Phone: 973-676-8113 Fax: 973-672-1937 | |
Dr. Daniel Desrivieres, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 32 N Day St, Orange, NJ 07050 Phone: 973-676-8113 | |
Orange Eye Care Limited Liability Company Optometrist Medicare: Medicare Enrolled Practice Location: 225 Main St, Orange, NJ 07050 Phone: 973-678-2600 Fax: 973-678-2621 |