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NPI Code Detail

MEDICARE: DR. ROBERT JUDE JOBA O.D.

MEDICARE:  DR. ROBERT JUDE JOBA  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristOEG004344PA
2152W00000XOptometristTUV005442NY

General Provider Information

NPI Number : 1316978869
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT JUDE JOBA O.D.
Provider Business Mailing Address
First Line : 19 HAWTHORNE DR
Second Line :
City : ORCHARD PARK
State : NY
Zip : 14127-1955
Country : US
Telephone Number : 716-361-1169
Fax Number :
Provider Business Practice Location Address
First Line : 5350 W RIDGE RD
Second Line :
City : ERIE
State : PA
Zip : 16506-1222
Country : US
Telephone Number : 814-835-0568
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 04/23/2026

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Directions to “ DR. ROBERT JUDE JOBA O.D.” Practice Location

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