Truway Vision Care Pa | |
311 Main St, Orange, NJ 07050-3607 | |
(973) 673-5773 | |
(973) 673-5794 |
Full Name | Truway Vision Care Pa |
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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 |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1154468973 PECOS PAC ID: 1658320981 Enrollment ID: I20050113000665 |
Mailing Address | Practice Location Address |
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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 |