# R J JOBA OD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659327054
- **Authorized official:** DR. ROBERT JUDE JOBA OD (OWNER OPTOMETRIST)
- **Authorized official phone:** (716) 947-2462

## Contact information

- **Practice address:** 6929 ERIE RD, DERBY, NY 14047-9406
- **Practice address phone:** (716) 947-2462
- **Practice address fax:** (716) 947-2464
- **Mailing address:** 6929 ERIE RD, DERBY, NY 14047-9406
- **Mailing address phone:** (716) 947-2462
- **Mailing address fax:** (716) 947-2464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | TUV005442-1 | NY | Yes |

## Other

- **Enumeration date:** 05/26/2006
- **Last updated:** 08/22/2020