Whalio Doctors

NPI 1023586179

Jacob Bedzrah, OD

Practitioner Optometrist Rockaway, NJ

Practice location

Address
301 Mount Hope Ave, Rockaway, NJ 07866-2130
Phone
(973) 668-3579
Fax
(973) 442-1777
Mailing address
99 Longview St, West Orange, NJ 07052-4857

Registered specialties (2)

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 27OA00684500 (NJ)
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X Licence 008908 (NY)

Registry record

NPI
1023586179
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Nov 2018
Record last updated
8 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.