NPIMap

Organization Active NPI

Double Vision, PC

  • Corneal and Contact Management Optometrist
  • Matawan, NJ
National Provider Identifier
1053391219
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
270A00505900 Issued in NJ
Legal business name
DOUBLE VISION, PC
Practice address
443 Rte 34
Suite F, Marketplace Mall
Matawan, NJ 07747-9506
Phone
(732) 583-3600
Fax
(732) 583-3770
NPI assigned
Jan 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Authorized official

Name
Dr. John G Lipchak, O.D.
Title
President
Phone
(732) 583-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X 270A00505900 NJ Primary

Addresses

Primary practice location

443 Rte 34
Suite F, Marketplace Mall
Matawan, NJ 07747-9506

Mailing address

443 Rte 34
Suite F, Marketplace Mall
Matawan, NJ 07747-9506
Phone (732) 583-3600

Other names 1

  • EYESFIRST VISION CENTER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1137801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1053391219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 RTE 34",
            "address_2": "SUITE F, MARKETPLACE MALL",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077479506",
            "telephone_number": "732-583-3600",
            "fax_number": "732-583-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 RTE 34",
            "address_2": "SUITE F, MARKETPLACE MALL",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077479506",
            "telephone_number": "732-583-3600",
            "fax_number": "732-583-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUBLE VISION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-21",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "LIPCHAK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-583-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NJ",
            "license": "270A00505900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYESFIRST VISION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Matawan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.