Individual
DR. CLETTA A ROCHESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2 HIGHLAND AVE, JERSEY CITY, NJ 07306-4510
(201) 434-8833
Mailing address
2 HIGHLAND AVE, JERSEY CITY, NJ 07306-4510
(201) 434-8833
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OAOO455900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0639001
—
NJ
01
—
116128
ECPA
NJ
01
—
25552
AETNA
NJ
01
—
38968
DAVIS VISION
NJ
01
—
6599874
GHI
NJ
Enumeration date
10/03/2006
Last updated
07/08/2007
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