Iosebashvili, David
Iosebashvili, David is an sole proprietor health care provider with primary practice located at 766 Bloomfield Ave. , West Caldwell NJ 07006. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Iosebashvili, David can be contacted via phone (973) 882-1967.Contact Information
Primary practice address
766 Bloomfield Ave.
West Caldwell NJ 07006
Phone: (973) 882-1967
Fax: (973) 882-5553
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 27OA 00592800 | New Jersey |
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV 006788 | New York |
Profile Details
| NPI number | 1831100031 |
|---|---|
| LBN Legal business name | Iosebashvili, David |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831100031 | NPPES |
| New Jersey | Other | 3973690 | AETNA ID NUMBER |
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