Active NPI
William Vargas
- Optician
- Old Bridge, NJ
National Provider Identifier
1063103117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 31TD00377400
- Practice address
- 2825 Route 18
Old Bridge, NJ 08857-3798 - Phone
- (732) 955-0489
- NPI assigned
- May 18, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 31TD00377400 | NJ | Primary |
Addresses
Primary practice location
2825 Route 18
Old Bridge, NJ 08857-3798
Mailing address
662 Burke Rd
Jackson, NJ 08527-4823
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31TD00377400 | NJ | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1063103117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "662 BURKE RD",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085274823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 ROUTE 18",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088573798",
"telephone_number": "732-955-0489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGAS",
"first_name": "WILLIAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-18",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NJ",
"license": "31TD00377400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Old Bridge, NJ
- Wahab Khan Umar, MD
- Urological Surgical Associates, PA
- V.K. Psychiatry Professional Association
- Rajyalakshmi V. Vadali, MD
- Juan Guillermo Vaillant
- Vascular and Interventional Specialists, PC
- Scott Carmine Ventre, DO
- Nancy Villa, DMD
- Village Super Market of NJ LP (ShopRite Pharmacy of Old Bridge)
- Virisaar Pharmacy Inc (Wood Lane Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.