Chester Family Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CHESTER FAMILY EYE CARE LLC

Practice address

530 Main St Ste 2B
Chester, NJ 07930-2669

Phone

(908) 879-7070

NPI assigned

Dec 8, 2020

Last updated

Feb 14, 2021By 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

Dr. Avi David Yehudai, ODNPI 1013400043

Title

Owner/Doctor of Optometry

Phone

(732) 742-8934

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Avi David Yehudai, O.D.

  • Optometrist
  • Chester, NJ
  • NPI 1013400043
  Medicare reassignment NPD Authorized official
• Andrew I Balysky, OD

  • Optometrist
  • Chester, NJ
  • NPI 1801980461
  NPD (past)

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613260800000",
    "number": "1073119665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 MAIN ST STE 2B",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079302669",
            "telephone_number": "908-879-7070",
            "fax_number": "908-879-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 MAIN ST STE 2B",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079302669",
            "telephone_number": "908-879-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTER FAMILY EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2021-02-14",
        "certification_date": "2021-02-14",
        "status": "A",
        "authorized_official_last_name": "YEHUDAI",
        "authorized_official_first_name": "AVI",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/DOCTOR OF OPTOMETRY",
        "authorized_official_telephone_number": "732-742-8934",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSE",
            "identifier": "27OA00680100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2021; 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.