Rochester, Cletta A
Rochester, Cletta A is an sole proprietor health care provider with primary practice located at 2 Highland Ave , Jersey City NJ 07306-4510. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Rochester, Cletta A can be contacted via phone (201) 434-8833.Contact Information
Primary practice address
2 Highland Ave
Jersey City NJ 07306-4510
Phone: (201) 434-8833
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 27OAOO455900 | New Jersey |
Profile Details
| NPI number | 1669566428 |
|---|---|
| LBN Legal business name | Rochester, Cletta A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1669566428 | NPPES |
| New Jersey | Other | 38968 | DAVIS VISION |
| New Jersey | MEDICAID | 0639001 | DAVIS VISION |
| New Jersey | Other | 116128 | DAVIS VISION |
| New Jersey | Other | 25552 | DAVIS VISION |
| New Jersey | Other | 6599874 | DAVIS VISION |
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