Individual
DR. JAMIE VARGHESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
25 STANFORD AVE, WEST ORANGE, NJ 07052-2050
(973) 640-0161
Mailing address
25 STANFORD AVE, WEST ORANGE, NJ 07052-2050
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
203599
AK
152W00000X
Optometrist
27OA00709900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203599
OPTOMETRY LICENSE
AK
Enumeration date
09/02/2021
Last updated
08/26/2024
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