Organization
AG VISION CARE LLC
Active
Other names
AG VISION CARE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL OBASUYI OD (OPTOMETRIST)
(973) 810-5540
Entity
Organization
Contact information
Practice address
787 BROAD ST, NEWARK, NJ 07102-3717
(973) 810-5540
Mailing address
9 WAKEMAN ST, WEST ORANGE, NJ 07052-2114
(347) 866-6331
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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