AG VISION CARE LLC (NPI# 1801456967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801456967 |
| Entity Type | Organization |
| Organization Name | AG VISION CARE LLC |
| Practice Address |
787 Broad St Newark NJ 07102-3717 |
| Mailing Address |
9 Wakeman St West Orange NJ 07052-2114 |
| Practice Telephone | 9738105540 |
| Mailing Telephone | 3478666331 |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2019-06-19 |
| Authorized Official Name | DR. PAUL OBASUYI (OPTOMETRIST) |
| Authorized Official Telephone | 9738105540 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| AG VISION CARE LLC | Other Name - Individual/Organization |
| Street Address |
787 BROAD ST |
| City | NEWARK |
| State | NJ |
| Zip Code | 07102-3717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730219569 | 171 Market Street of Nj Inc | Technician/Technologist | 787 Broad St, Newark, NJ 07102-3717 | 2007-03-07 |
| 1811443880 | Urban Newark, Inc. | Eyewear Supplier (Equipment, not the service) | 787 Broad St, Newark, NJ 07102-3717 | 2016-08-30 |
| 1245663673 | Veritas Vision LLC | Optometrist | 787 Broad St, Newark, NJ 07102-3717 | 2013-08-21 |
| 1639425028 | Urban Eyes Inc | Eyewear Supplier (Equipment, not the service) | 787 Broad St, Newark, NJ 07102-3717 | 2012-08-03 |
| 1639405285 | Eyecare Advantage, Inc. | Eyewear Supplier (Equipment, not the service) | 787 Broad St, Newark, NJ 07102-3717 | 2009-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
| 1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
| 1679042295 | Henry Paul Grayner | Specialist/Technologist | 100 Lock St, Newark, NJ 07102 | 2018-11-14 |
| 1548736838 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 | 2018-10-15 |
| 1962981407 | Crystal Kay-baune Mccown | Social Worker | 130 Orange St, Newark, NJ 07102 | 2018-08-07 |
| 1053808865 | Nubi Consultants Corp. Dba Aplus Home Care | Physical Therapist | 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 | 2018-04-17 |
| 1396249264 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 49 Lincoln Park, Newark, NJ 07102 | 2018-03-23 |
| 1568960896 | Saint James Health Inc | Clinic/Center | 36 Halsey Street, Newark, NJ 07102 | 2018-02-01 |
| 1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
| 1467974949 | Ahmad Mohammad Tawfiq Damati | Student in an Organized Health Care Education/Training Program | 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 | 2017-07-17 |
| Find all providers in zip 07102 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205210804 | Laila Osmani-nejat | Optometrist | 1057 Newpark Mall, Newark, CA 94560-5238 | 2015-07-13 |
| 1235547126 | Janelle Tertullien-mcdonald | Optometrist | 295 Ferry St, Newark, NJ 07105-3443 | 2014-07-24 |
| 1497039630 | Isee Optometry | Optometrist | 35149 Newark Blvd, Ste C, Newark, CA 94560-1209 | 2011-10-06 |
| 1396052163 | Tarra Justine Winchell | Optometrist | 19 Haines St, Suite B, Newark, DE 19711-4610 | 2010-09-01 |
| 1760796908 | Judy Thi Thu Hong Nguyen | Optometrist | 6247 Jarvis Ave, Newark, CA 94560-1212 | 2010-07-29 |
| 1851528772 | David Iosebashvili PC | Optometrist | 106 Ferry Str, Newark, NJ 07105 | 2009-06-18 |
| 1912185950 | Dr Lawrence Joseph Kruse Od | Optometrist | 1421 Kirkwood Highway, Suite 1106, Newark, DE 19711-5705 | 2008-02-01 |
| 1508053794 | John T. Lung | Optometrist | 35149 Newark Blvd Ste C, Newark, CA 94560-1219 | 2007-10-01 |
| 1629264817 | Michael Carmine Cerra | Optometrist | 500 Newpark Mall, Jc Penney Optical #11020, Newark, CA 94560-5202 | 2007-09-20 |
| 1093934465 | Donald Dean-rusk Guerrier | Optometrist | 677 Mt. Prospect Ave, Newark, NJ 07104 | 2007-04-24 |
| Find all providers in NEWARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.