Ross, William Jacob

Ross, William Jacob is an individual health care provider with primary practice located at 161 Ridgedale Ave , Florham Park NJ 07932-1708. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Ross, William Jacob can be contacted via phone (973) 377-3644.

Contact Information

Primary practice address
161 Ridgedale Ave Florham Park NJ 07932-1708
Phone: (973) 377-3644
Fax: (973) 377-1413
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2528 New Jersey
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 2528 New Jersey

Profile Details

NPI number 1932136819
LBN Legal business name Ross, William Jacob
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jul 8th, 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 1932136819 NPPES
New Jersey MEDICAID 1271008
New Jersey Other 0112767000
New Jersey Other 187927
New Jersey Other 516518
New Jersey Other P830239

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