Ag Vision Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

AG VISION CARE LLC

Practice address

787 Broad St
Newark, NJ 07102-3717

Phone

(973) 810-5540

NPI assigned

Jun 19, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Paul Obasuyi, ODNPI 1730463118

Title

Optometrist

Phone

(973) 810-5540

Specialties & licenses 1

Addresses

Other names 1

• AG VISION CARE LLC Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Obasuyi, OD

  • Optometrist
  • West Orange, NJ
  • NPI 1730463118
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1801456967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WAKEMAN ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522114",
            "telephone_number": "347-866-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 BROAD ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071023717",
            "telephone_number": "973-810-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AG VISION CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "OBASUYI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "973-810-5540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AG VISION CARE LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Advocate Services LLC.
• Isaac Adzaho, PMHNP-BC
• Affiliated Sports Clinic, P.C.
• Faiz Afridi
• Saba Afzal, MD
• Agape Treatment Services,LLC
• Pankaj K Agarwalla, M.D.
• Alice Agecha
• Rashmi Aggarwal, APN
• Osariemen Helen Agho

• Optometrist in Newark, NJ
• Providers in Newark, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.