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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ASHLEY LAICO BOULOS, O.D.

Active

DR. ASHLEY LAICO BOULOS, O.D. is a Optometrist healthcare provider located in CLIFTON, New Jersey. NPI 1215394945 is currently active in the NPPES registry. Verify at CMS.

Optometrist · CLIFTON, NJ

Registration Details

NPI Number
1215394945
Provider Type
Individual
Gender
Female
NPI Issued
Jan 26, 2016 (10.541560493084 yrs)
Last Updated
Jan 26, 2016
Licenses
27OA00661700 (NJ)
OEG003087 (PA)

Practice Information

Address
1430 MAIN AVE
CLIFTON, NJ, 070112146
Browse NJ providers · Browse ZIP 07011
Phone
8005302730
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optometrist

Other Optometrist Providers in CLIFTON, NJ

Name Credential NPI
DR. BRUCE MAZIE O.D. 1871578054
DR. ALAN F WEISSMAN O.D. 1588735021
NEHA MADHIWALA OD 1215005707
KATHY MOREIRA OD 1487722930
LARRY SCHARF OD 1538227624
DR. JOHN C SCARAMIA OD 1487791166
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.