Individual provider Active NPI

Clare Tao, O.D.

  • Optometrist
  • West New York, NJ
National Provider Identifier
1003320136
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00685000 Issued in NJ
Practice address
6000 Bergenline Ave
West New York, NJ 07093-1448
Phone
(201) 854-7007
NPI assigned
Nov 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008709 NY
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 27OA00685000 NJ Primary

Addresses

Primary practice location

6000 Bergenline Ave
West New York, NJ 07093-1448

Mailing address

25 McWilliams PL Apt 204
Jersey City, NJ 07302-1649
Phone (718) 808-3811

Other practice location 1

155 Prospect Ave Ste 201
West Orange, NJ 07052-4204
Phone (973) 736-1020

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EHR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210810002916 NJ Practitioner - Optometry 9335497536 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seesaw Vision LS LLCGroup PAC ID 8820531718, 2 clinicians

Practice addresses (Care Compare)

22 Old Short Hills Rd
Suite 210
Livingston, NJ 07039-5605
Phone (908) 838-0660

6000 Bergenline Ave
West New York, NJ 07093-1448
Phone (201) 854-3411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00685000NJMDOptometrist
TUV008709NYMDOptometrist
008709NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alan B Schlussel OD LLC Optometrist CurrentSince Aug 10, 2021 Accepting new patients
Seesaw Vision LS LLC Optometrist CurrentSince Jan 19, 2024 Accepting new patients
Smart Eyecare LLC Optometrist CurrentSince Jan 1, 2023 Accepting new patients
Martinez Opticians Inc. Single Specialty PastSince Nov 15, 2020 Accepting new patients
Williams Eye Works, Inc Optometrist PastSince Apr 27, 2023 Accepting new patients

Locations

22 Old Short Hills Rd
Ste 210
Livingston, NJ 07039
Phone (973) 533-1070

155 Prospect Ave
Ste 201
West Orange, NJ 07052
Phone (973) 736-1020

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1003320136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MCWILLIAMS PL APT 204",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073021649",
            "telephone_number": "718-808-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 BERGENLINE AVE",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070931448",
            "telephone_number": "201-854-7007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Prospect Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "West Orange",
            "state": "NJ",
            "postal_code": "070524204",
            "country_code": "US",
            "telephone_number": "973-736-1020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAO",
        "first_name": "CLARE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-28",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008709",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00685000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "address_1": "155 Prospect Ave Ste 201",
            "city": "West Orange",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070524204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West New York, NJ

Sources for this page

Verify at the official NPI Registry.