Active NPI
Optical Group LTD
- Optician
- Newark, NJ
National Provider Identifier
1043340862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- OPTICAL GROUP LTD
- Practice address
- 786 Broad St
Newark, NJ 07102-3728 - Phone
- (973) 642-4949
- Fax
- (973) 621-1830
- NPI assigned
- Mar 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Peter Brown
- Title
- Owner
- Phone
- (212) 594-0751
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
786 Broad St
Newark, NJ 07102-3728
Mailing address
786 Broad St
Newark, NJ 07102-3728
Phone (973) 642-4949
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6368000 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
786 Broad St
Newark, NJ 07102
Phone (973) 642-4949
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Newark, NJ
- NPI 1093934465
-
- Optometrist
- Newark, NJ
- NPI 1669502308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1043340862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "786 BROAD ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071023728",
"telephone_number": "973-642-4949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "786 BROAD ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071023728",
"telephone_number": "973-642-4949",
"fax_number": "973-621-1830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTICAL GROUP LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-594-0751",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6368000",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.