Provider Demographics
NPI:1609507532
Name:NAQVI, AQEELA BATOOL (OD)
Entity Type:Individual
Prefix:DR
First Name:AQEELA
Middle Name:BATOOL
Last Name:NAQVI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 STATE ROUTE 33
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2506
Mailing Address - Country:US
Mailing Address - Phone:732-780-4220
Mailing Address - Fax:
Practice Address - Street 1:639 BROAD ST SPC S-17
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4150
Practice Address - Country:US
Practice Address - Phone:732-534-3451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-21
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00712900152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist