Broadway Vision Services Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00509100 Issued in NJ

Legal business name

BROADWAY VISION SERVICES INC.

Practice address

59 Broadway
Newark, NJ 07104-2503

Phone

(972) 268-2565

Fax

(973) 484-3868

NPI assigned

May 17, 2007

Last updated

May 16, 2013By 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. Chinwendu Anukwuem, O.D.NPI 1003976523

Title

Owner

Phone

(973) 268-2565

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: canukwuem@broadwayvision.eyefinity-direct.com

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.

• Chinwendu Nkechika Anukwuem, O.D.

  • Optometrist
  • Newark, NJ
  • NPI 1003976523
  Medicare reassignment NPD Authorized official
• Steffani A. Deas, O.D.

  • Optometrist
  • Fredericksburg, VA
  • NPI 1053526350
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1073721817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 BROADWAY",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071042503",
            "telephone_number": "972-268-2565",
            "fax_number": "973-484-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 BROADWAY",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071042503",
            "telephone_number": "972-268-2565",
            "fax_number": "973-484-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY VISION SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "ANUKWUEM",
        "authorized_official_first_name": "CHINWENDU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-268-2565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00509100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jalesah Brooks

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.