Search › New Jersey › 152W00000X
Ashley Laico Boulos, O.D
NPI 1215394945 · on the registry since 2016
Practice
- Address
- 1430 Main Ave
Clifton, NJ 07011 - Phone
- (800) 530-2730
- Organisation at this address
- Optical Outlet Llc
Optical Outlet LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
- Licence states on file
- NJ, PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-01-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey