Dr. Eyeballs, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00645800 Issued in NJ

Legal business name

DR. EYEBALLS, PC

Practice address

279 Ferry St
Newark, NJ 07105-3400

Phone

(973) 344-2212

Fax

(973) 344-4651

NPI assigned

Sep 3, 2013

Organization subpart

No

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

Authorized official

Name

Stefanie Naumovitz

Title

Owner

Phone

(908) 894-4770

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1043644529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 LILAC DR",
            "city": "LEBANON",
            "state": "NJ",
            "postal_code": "088333035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 FERRY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071053400",
            "telephone_number": "973-344-2212",
            "fax_number": "973-344-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. EYEBALLS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "NAUMOVITZ",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-894-4770"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00645800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas T Downey, D.M.D.
• Melissa Marie Doyle, PHD, LCSW
• Dr Eduardo Samaniego - Primary Medical Care LLC
• Dr K a Ziyaaudhin, PA
• Dr Kenneth Frank
• Dr. Hortensia Kelly PA
• Dr. Michael J. Diamond, PA
• Lisa Ann Dragone, APN
• Ceyon M Drakes, APN
• Marilyn Moore Driscoll, RD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.