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:
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Health care specialties

SpecialtyCodeLicense #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 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831100031 NPPES
New Jersey Other 3973690 AETNA ID NUMBER

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