Optical Vision

Primary specialty

OpticianTaxonomy code 156FX1800X

License

31TD00153100 Issued in NJ

Legal business name

OPTICAL VISION

Practice address

4414 Bergenline Ave
Union City, NJ 07087-5004

Phone

(201) 330-0123

Fax

(201) 271-1630

NPI assigned

Apr 14, 2007

Last updated

Aug 22, 2020By 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

Mr. Joaquin Armando Rodriguez

Title

Optician

Phone

(201) 330-0123

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053536292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4414 BERGENLINE AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070875004",
            "telephone_number": "201-330-0123",
            "fax_number": "201-271-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 BERGENLINE AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070875004",
            "telephone_number": "201-330-0123",
            "fax_number": "201-271-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JOAQUIN",
        "authorized_official_middle_name": "ARMANDO",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "201-330-0123",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NJ",
            "license": "31TD00153100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3162401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optician in Union City, NJ
• Providers in Union City, NJ by specialty
• Optician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.