Prinze Mack, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA08221100 Issued in NJ

Legal business name

PRINZE MACK, LLC

Doing business as

Mack Eye Center

Practice address

257 Monmouth Rd BLDG B Ste 1
Oakhurst, NJ 07755

Phone

(732) 835-2020

Fax

(732) 695-3200

NPI assigned

Mar 3, 2009

Last updated

Jan 29, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Prinze Chan Mack, M.D.NPI 1609990613

Title

Owner

Phone

(201) 532-3342

Specialties & licenses 1

Addresses

Other names 1

• Mack Eye Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Prinze Chan Mack, M.D.

  • Ophthalmology Physician
  • Oakhurst, NJ
  • NPI 1609990613
  Medicare reassignment Care Compare group NPD Authorized official
• Emi J. Girgis, OD

  • Optometrist
  • Oakhurst, NJ
  • NPI 1194560433
  Medicare reassignment Care Compare group NPD
• Shiza Sarfraz, OD

  • Optometrist
  • Oakhurst, NJ
  • NPI 1659986123
  Medicare reassignment NPD
• Barry J Edison, D.O.

  • Ophthalmology Physician
  • Eatontown, NJ
  • NPI 1447283510
  NPD (past)

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548720000000",
    "number": "1043450018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 MONMOUTH RD BLDG B STE 1",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "07755",
            "telephone_number": "732-835-2020",
            "fax_number": "732-695-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 MONMOUTH RD BLDG B STE 1",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "07755",
            "telephone_number": "732-835-2020",
            "fax_number": "732-695-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "192 Jack Martin Blvd Unit B4",
            "address_purpose": "LOCATION",
            "city": "Brick",
            "state": "NJ",
            "postal_code": "087247728",
            "country_code": "US",
            "telephone_number": "732-835-2020",
            "fax_number": "732-475-6261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRINZE MACK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2019-01-29",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "PRINZE",
        "authorized_official_middle_name": "CHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-532-3342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA08221100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mack Eye Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mack Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ardly Pierre Jerome, RN, BSN
• Marjorie Pierre Jerome
• Kimberly Anne Pillsbury, LPC
• Marcella Teresa Pimpinelli
• Paul William Pound, LCADC LPC ACS
• Psychodrama New Jersey LLC
• Pure Chiropractic
• Laith Qumei, M.D.
• Catherine Radeschi, MSW LCSW
• Emily Reiser, PA-C

• Ophthalmology Physician in Oakhurst, NJ
• Providers in Oakhurst, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.

Verify at the official NPI Registry.