Organization Active NPI

Bright Vision

  • Optometrist
  • Robbinsville, NJ
National Provider Identifier
1043779739
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BRIGHT VISION
Practice address
1140 US Highway 130 Ste 5
Robbinsville, NJ 08691-1137
Phone
(609) 223-0999
NPI assigned
Mar 13, 2019
Last updated
Nov 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Authorized official

Name
Nisha Shah, ODNPI 1285981431
Title
Owner
Phone
(609) 223-0999

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)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

1140 US Highway 130 Ste 5
Robbinsville, NJ 08691-1137

Mailing address

189 Browertown Rd
Woodland Park, NJ 07424-2609

Other practice location 1

1126 US Highway 9
Old Bridge, NJ 08857-2860
Phone (732) 525-8685

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dr.shah@brightvisionnj.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190322001661 NJ Part B Supplier - Clinic/Group Practice 0345580601 Receives reassigned benefits from 1 practitioner
Practice locations: Old Bridge, NJ; Robbinsville, NJ

National Provider Directory

National Provider Directory

Locations

1140 US Highway 130
Ste 5
Robbinsville, NJ 08691
Phone (609) 223-0999

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574035200000",
    "number": "1043779739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 BROWERTOWN RD",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 US HIGHWAY 130 STE 5",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086911137",
            "telephone_number": "609-223-0999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1126 US Highway 9",
            "address_purpose": "LOCATION",
            "city": "Old Bridge",
            "state": "NJ",
            "postal_code": "088572860",
            "country_code": "US",
            "telephone_number": "732-525-8685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIGHT VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-11-18",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "NISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-223-0999",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dr.shah@brightvisionnj.com",
            "affiliation": "N",
            "address_1": "1126 US Highway 9",
            "city": "Old Bridge",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088572860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Robbinsville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.