Maplewood Vision Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00375400 Issued in NJ

Legal business name

MAPLEWOOD VISION CARE, LLC

Practice address

1955 Springfield Ave
Maplewood, NJ 07040-3441

Phone

(973) 761-5313

NPI assigned

Oct 31, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Dennis John Delesio, O.D.NPI 1174544175

Title

President

Phone

(973) 761-5313

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Dennis John Delesio, O.D.

  • Optometrist
  • Maplewood, NJ
  • NPI 1174544175
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1063798320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 SPRINGFIELD AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403441",
            "telephone_number": "973-761-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 SPRINGFIELD AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403441",
            "telephone_number": "973-761-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLEWOOD VISION CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "DELESIO",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-761-5313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00375400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maplewood Chemists, Inc
• Maplewood Chemists, Inc
• Maplewood Lactation LLC
• Maplewood Medical Associates, P.a.
• Maplewood Village Pharmacy LLC
• Maplewood Wellness Center
• Marcus L Ward Home, Inc.
• Marcus L. Ward Home
• Marigold Pediatric Dentistry and Orthodontics
• Janine Marley, RNC, IBCLC

• Optometrist in Maplewood, NJ
• Providers in Maplewood, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.