Organization Active NPI

Eyes by Dr. Bonnie, LLC

  • Optometrist
  • North Brunswick, NJ
National Provider Identifier
1013163732
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00552600 Issued in NJ
Legal business name
EYES BY DR. BONNIE, LLC
Practice address
101 Grand Ave
North Brunswick, NJ 08902-5027
Phone
(732) 821-0318
Fax
(732) 297-5278
NPI assigned
Aug 13, 2008
Last updated
May 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Authorized official

Name
Dr. Bonnie C. Silverstein, O.D.NPI 1912071812
Title
Owner/Doctor
Phone
(908) 930-8181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00552600 NJ Primary

Addresses

Primary practice location

101 Grand Ave
North Brunswick, NJ 08902-5027

Mailing address

101 Grand Ave
North Brunswick, NJ 08902-5027
Phone (732) 821-0318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080812000075 NJ Part B Supplier - Clinic/Group Practice 4587738471 Receives reassigned benefits from 1 practitioner
Practice locations: Hamilton, NJ

National Provider Directory

National Provider Directory

Locations

638 Marketplace Blvd
Hamilton, NJ 08691
Phone (609) 581-5522

232 Ryders Ln
Milltown, NJ 08850
Phone (732) 247-1970

101 Grand Ave
North Brunswick, NJ 08902
Phone (732) 798-2559

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1013163732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 GRAND AVE",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089025027",
            "telephone_number": "732-821-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 GRAND AVE",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089025027",
            "telephone_number": "732-821-0318",
            "fax_number": "732-297-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES BY DR. BONNIE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-13",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "SILVERSTEIN",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "908-930-8181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00552600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.