Organization Active NPI

Elite Vision Eye Associates LLC

  • Optometrist
  • Phillipsburg, NJ
National Provider Identifier
1013516509
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ELITE VISION EYE ASSOCIATES LLC
Practice address
1300 US Highway 22
Phillipsburg, NJ 08865-4108
Phone
(908) 956-4711
NPI assigned
Oct 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Authorized official

Name
Dr. Mario Beshai, ODNPI 1982133484
Title
Owner
Phone
(908) 454-9890

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1300 US Highway 22
Phillipsburg, NJ 08865-4108

Mailing address

1300 US Highway 22
Phillipsburg, NJ 08865-4108
Phone (908) 454-9890

Other names 1

  • Elite Vision Eye Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201112001066 NJ Part B Supplier - Clinic/Group Practice 6406266980 Receives reassigned benefits from 1 practitioner
Practice locations: Phillipsburg, NJ

National Provider Directory

National Provider Directory

Locations

1300 US Highway 22
Phillipsburg, NJ 08865
Phone (908) 454-4047

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1013516509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 US HIGHWAY 22",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088654108",
            "telephone_number": "908-454-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 US HIGHWAY 22",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088654108",
            "telephone_number": "908-956-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE VISION EYE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "BESHAI",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-454-9890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Vision Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elite Vision Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phillipsburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.