Organization Active NPI

Millennium Eyecare, LLC

  • Ophthalmology Physician
  • Brick, NJ
National Provider Identifier
1043401789
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA05082500 Issued in NJ
Legal business name
MILLENNIUM EYECARE, LLC
Practice address
515 Brick Blvd
Brick, NJ 08723-6009
Phone
(732) 920-3800
Fax
(732) 920-5351
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Authorized official

Name
Dr. Steven K. Mishkin, MD
Title
Managing Partner
Phone
(732) 462-8707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 25MA05082500 NJ Primary

Addresses

Primary practice location

515 Brick Blvd
Brick, NJ 08723-6009

Mailing address

500 W Main St
Freehold, NJ 07728-2500
Phone (732) 462-8707

National Provider Directory

National Provider Directory

Locations

500 W Main St
Freehold, NJ 07728
Phone (732) 462-8707

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1043401789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282500",
            "telephone_number": "732-462-8707",
            "fax_number": "732-780-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 BRICK BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236009",
            "telephone_number": "732-920-3800",
            "fax_number": "732-920-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "MISHKIN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "732-462-8707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA05082500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.