Active NPI
Truway Vision Care PA
- Optometrist
- Orange, NJ
National Provider Identifier
1043387178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00549800
- Legal business name
- TRUWAY VISION CARE PA
- Practice address
- 311 Main St
Orange, NJ 07050-3607 - Phone
- (973) 673-5773
- Fax
- (973) 673-5794
- NPI assigned
- Nov 30, 2006
- 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
- Dr. Stellamaria Ngozi Korieocha, OD
- Title
- Optometrist
- Phone
- (973) 673-5773
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00549800 | NJ | Primary |
Addresses
Primary practice location
311 Main St
Orange, NJ 07050-3607
Mailing address
311 Main St
Orange, NJ 07050-3607
Phone (973) 673-5773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7455801 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
311 Main St
Orange, NJ 07050
Phone (973) 673-5773
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
- Orange, NJ
- NPI 1154468973
-
- Optometrist
- Newark, NJ
- NPI 1003976523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242604800000",
"number": "1043387178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 MAIN ST",
"city": "ORANGE",
"state": "NJ",
"postal_code": "070503607",
"telephone_number": "973-673-5773",
"fax_number": "973-673-5794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 MAIN ST",
"city": "ORANGE",
"state": "NJ",
"postal_code": "070503607",
"telephone_number": "973-673-5773",
"fax_number": "973-673-5794"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRUWAY VISION CARE PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-30",
"last_updated": "2009-05-18",
"status": "A",
"authorized_official_last_name": "KORIEOCHA",
"authorized_official_first_name": "STELLAMARIA",
"authorized_official_middle_name": "NGOZI",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "973-673-5773",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00549800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7455801",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.