Organization Active NPI

Opti Eye Care LLC

  • Optometrist
  • Paterson, NJ
National Provider Identifier
1053609305
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00601300 Issued in NJ
Legal business name
OPTI EYE CARE LLC
Practice address
140 Main Street
Paterson, NJ 07505-1023
Phone
(973) 357-8357
Fax
(973) 357-8359
NPI assigned
Jul 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Parag Raithatha
Title
Ao
Phone
(973) 357-8357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 27OA00601300 NJ Primary

Addresses

Primary practice location

140 Main Street
Paterson, NJ 07505-1023

Mailing address

140 Main St
Paterson, NJ 07505-1023
Phone (973) 357-8357

Other identifiers 1

IdentifierTypeStateIssuer
0273929MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120307000472 NJ Part B Supplier - Clinic/Group Practice 1759540933 Receives reassigned benefits from 1 practitioner
Practice locations: Paterson, NJ

National Provider Directory

National Provider Directory

Locations

140 Main St
Paterson, NJ 07505
Phone (973) 357-8357

185 E FRNT St
Plainfield, NJ 07060
Phone (908) 561-5141

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1053609305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051023",
            "telephone_number": "973-357-8357",
            "fax_number": "973-357-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 MAIN STREET",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051023",
            "telephone_number": "973-357-8357",
            "fax_number": "973-357-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTI EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-20",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "RAITHATHA",
        "authorized_official_first_name": "PARAG",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "973-357-8357"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00601300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0273929",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.