John Saqa, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00550400 Issued in NJ

Practice address

100 N Main St
Walmart Vision Center
Manville, NJ 08835-1358

Phone

(908) 575-9446

NPI assigned

Oct 4, 2006

Last updated

May 30, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338336000000",
    "number": "1043306533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NORTH MAIN ST.",
            "address_2": "WALMART VISION CENTER",
            "city": "MANVILLE",
            "state": "NJ",
            "postal_code": "088350000",
            "telephone_number": "908-575-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N MAIN ST",
            "address_2": "WALMART VISION CENTER",
            "city": "MANVILLE",
            "state": "NJ",
            "postal_code": "088351358",
            "telephone_number": "908-575-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAQA",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00550400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.