DR. JACOB BEDZRAH (NPI# 1023586179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023586179 |
| Entity Type | Individual |
| Full Name | DR. JACOB BEDZRAH |
| Credential | OD |
| Practice Address |
301 Mount Hope Ave Rockaway NJ 07866-2130 |
| Mailing Address |
99 Longview St West Orange NJ 07052-4857 |
| Practice Telephone | 9736683579 |
| Practice Fax Number | 9734421777 |
| Mailing Telephone | 9739015042 |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2019-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 008908 | NY | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 27OA00684500 | NJ | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 185 Central Ave Ste 509, East Orange, NJ 070183319 | 9736734620 | 9736733260 |
| Street Address |
301 MOUNT HOPE AVE |
| City | ROCKAWAY |
| State | NJ |
| Zip Code | 07866-2130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881674455 | Jill Saxon | Optometrist | 301 Mount Hope Ave, Rockaway, NJ 07866-2130 | 2006-01-19 |
| 1275174476 | Jb Royal LLC | Optometrist | 301 Mount Hope Ave, Rockaway, NJ 07866-2130 | 2019-09-30 |
| 1811362395 | Cohen Fashion Optical, LLC | Eyewear Supplier (Equipment, not the service) | 301 Mount Hope Ave, Rockaway, NJ 07866-2130 | 2015-12-09 |
| 1659702926 | Routine Health LLC | Eyewear Supplier (Equipment, not the service) | 301 Mount Hope Ave, Rockaway Townsquare Mall, Rockaway, NJ 07866-2130 | 2013-12-11 |
| 1114237450 | Hira Javeed | Optometrist | 301 Mount Hope Ave, Suite 2002, Rockaway, NJ 07866 | 2010-10-20 |
| 1366607608 | Robert F Meade | Optometrist | 301 Mount Hope Ave, Rockaway, NJ 07866-2130 | 2008-07-25 |
| 1679743835 | Jill Saxon Od LLC | Optometrist | 301 Mount Hope Ave, Rockaway, NJ 07866-2130 | 2008-03-04 |
| 1306968136 | Supreme Solutions Inc | Eyewear Supplier (Equipment, not the service) | 301 Mount Hope Ave, Suite 2043, Rockaway, NJ 07866-2130 | 2007-04-04 |
| 1205953452 | Emil Kenneth Heringer | Optometrist | 301 Mount Hope Ave, Cohen's Fashion Optical, #24, Rockaway, NJ 07866-2130 | 2007-03-23 |
| 1366547838 | Supreme Eye Center Inc | Optometrist | 301 Mount Hope Ave, Suite# 2043, Rockaway, NJ 07866-2130 | 2006-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669023834 | Rockaway Dental Associates, LLC | Durable Medical Equipment & Medical Supplies | 20 Union St., Rockaway, NJ 07866 | 2019-09-27 |
| 1568912558 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 457 Route 46, Rockaway, NJ 07866 | 2016-10-13 |
| 1245685197 | Silvia Farag | Social Worker | 20 Vanderhoof, Rockaway, NJ 07866 | 2016-04-28 |
| 1942694419 | Haroon Arshad | Family Medicine | 346 Route 46, Rockaway, NJ 07866 | 2015-03-23 |
| 1740696301 | Andrew Lewie | Pharmacist | 101 Rounhill Drive, Rockaway, NJ 07866 | 2014-07-03 |
| 1790118503 | Brendan Gallagher | Physical Therapist | 138 W Lake Shore Dr, Rockaway, NJ 07866 | 2013-08-15 |
| 1679834436 | Robert Siegelman | Pharmacist | 29 Sherbrook Dr, Rockaway, NJ 07866 | 2012-06-07 |
| 1417263047 | Divya Jyoti Arora | Dentist | 171 West Main Street, Rockaway, NJ 07866 | 2010-08-20 |
| 1497087761 | Tomah Roberts Companion and Home Attendants Services | Chore Provider | 39 Green Pond Rd, Apt F3, Rockaway, NJ 07866 | 2010-02-11 |
| 1982868204 | Dr. Pong Eyecare LLC | Optometrist | Us Rt. 80 and Mount Hope Avenue, Jcpenney Optical / Rockaway Townsquare Mall, Rockaway, NJ 07866 | 2008-07-16 |
| Find all providers in zip 07866 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982868204 | Dr. Pong Eyecare LLC | Optometrist | Us Rt. 80 and Mount Hope Avenue, Jcpenney Optical / Rockaway Townsquare Mall, Rockaway, NJ 07866 | 2008-07-16 |
| 1427179977 | Cfo Retail, Inc. | Optometrist | Rockaway Town Square Mall, Rockaway, NJ 07866 | 2007-04-03 |
| 1033260062 | National Resource Group Inc. | Optometrist | Cohen's Fashion Optical, 301 Mt Hope Ave, Rockaway, NJ 07866 | 2007-01-16 |
| 1881674455 | Jill Saxon | Optometrist | 301 Mount Hope Ave, Rockaway, NJ 07866-2130 | 2006-01-19 |
| 1275174476 | Jb Royal LLC | Optometrist | 301 Mount Hope Ave, Rockaway, NJ 07866-2130 | 2019-09-30 |
| 1114237450 | Hira Javeed | Optometrist | 301 Mount Hope Ave, Suite 2002, Rockaway, NJ 07866 | 2010-10-20 |
| 1033439237 | Szilvia Peli O.d.,llc | Optometrist | 343 Mount Hope Ave, Pearle Vision, Rockaway, NJ 07866-1644 | 2010-06-10 |
| 1366607608 | Robert F Meade | Optometrist | 301 Mount Hope Ave, Rockaway, NJ 07866-2130 | 2008-07-25 |
| 1679743835 | Jill Saxon Od LLC | Optometrist | 301 Mount Hope Ave, Rockaway, NJ 07866-2130 | 2008-03-04 |
| 1205953452 | Emil Kenneth Heringer | Optometrist | 301 Mount Hope Ave, Cohen's Fashion Optical, #24, Rockaway, NJ 07866-2130 | 2007-03-23 |
| Find all providers in ROCKAWAY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.