MBC Eyecare Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00485200 Issued in NJ

Legal business name

MBC EYECARE INC

Practice address

1004 State Route 35
Middletown, NJ 07748-2604

Phone

(732) 615-9300

Fax

(732) 615-9302

NPI assigned

Dec 19, 2006

Last updated

Sep 25, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marie Brusgard -Cerra, ODNPI 1417010745

Title

President

Phone

(732) 615-9300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marie Brusgard-Cerra, OD

  • Optometrist
  • Middletown, NJ
  • NPI 1417010745
  Authorized official Same address or phone

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1013070242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 STATE ROUTE 35",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482604",
            "telephone_number": "732-615-9300",
            "fax_number": "732-615-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 STATE ROUTE 35",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482604",
            "telephone_number": "732-615-9300",
            "fax_number": "732-615-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBC EYECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "BRUSGARD -CERRA",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-615-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00485200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marybeth McCabe DMD PC
• Jennifer T. Mascolo, PSYD, NCSP
• Michael F Massaro, DMD
• Camille Mazza, LMHC
• Janine Mazzaro, LMT
• Shannon T McBride
• Mary Beth McCabe, DMD
• Brendan Patrick McDermott, ATC
• Megan McDermott, PA-C
• Debra Lynn McGrath, R. N., A.P.N., C.

• Optometrist in Middletown, NJ
• Providers in Middletown, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.