NPIMap

Organization Active NPI

Eyecare 20/20- West Orange PA

  • Optometrist
  • West Orange, NJ
National Provider Identifier
1023397189
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYECARE 20/20- WEST ORANGE PA
Practice address
95 Northfield Ave
Suite #2
West Orange, NJ 07052-4731
Phone
(973) 731-8050
NPI assigned
Aug 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Authorized official

Name
Keri Muli
Title
Administrator
Phone
(973) 560-1500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X

Addresses

Primary practice location

95 Northfield Ave
Suite #2
West Orange, NJ 07052-4731

Mailing address

46 Eagle Rock Ave
East Hanover, NJ 07936-3104
Phone (973) 560-1500

National Provider Directory

National Provider Directory

Locations

46 Eagle Rock Ave
East Hanover, NJ 07936
Phone (973) 560-1500

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1023397189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 EAGLE ROCK AVE",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363104",
            "telephone_number": "973-560-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 NORTHFIELD AVE",
            "address_2": "SUITE #2",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524731",
            "telephone_number": "973-731-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE 20/20- WEST ORANGE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-08",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "MULI",
        "authorized_official_first_name": "KERI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "973-560-1500"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.