Bogota Family Eye Care Llc | |
137 Queen Anne Rd, Bogota, NJ 07603-1623 | |
(201) 488-7855 | |
(201) 488-1636 |
Full Name | Bogota Family Eye Care Llc |
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Type | Facility |
Speciality | Optometrist |
Location | 137 Queen Anne Rd, Bogota, 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 |
---|---|---|---|
1619613312 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Diane A King |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1205828589 PECOS PAC ID: 3375670854 Enrollment ID: I20100415000526 |
Mailing Address | Practice Location Address |
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Bogota Family Eye Care Llc 137 Queen Anne Rd, Bogota, NJ 07603-1623 Ph: (201) 488-7855 | Bogota Family Eye Care Llc 137 Queen Anne Rd, Bogota, NJ 07603-1623 Ph: (201) 488-7855 |
Dr. Benedicta Akweley Obuamah, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 137 Queen Anne Rd, Bogota, NJ 07603 Phone: 201-488-7855 | |
Dr. Diane A. King, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 137 Queen Anne Rd, Bogota, NJ 07603 Phone: 201-488-7855 Fax: 201-488-1636 | |
Bogota Vision P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 137 Queen Anne Rd, Bogota, NJ 07603 Phone: 201-488-7855 |