Organization Active NPI

The Eyeglass Shoppe of Madison, Inc.

  • Eyewear Supplier
  • Madison, NJ
National Provider Identifier
1073785796
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
THE EYEGLASS SHOPPE OF MADISON, INC.
Practice address
26 Waverly PL
Madison, NJ 07940-1807
Phone
(973) 377-7144
NPI assigned
Apr 2, 2008
Last updated
Apr 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Mr. Richard Ziccarello
Title
President
Phone
(973) 377-7144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

26 Waverly PL
Madison, NJ 07940-1807

Mailing address

26 Waverly PL
Madison, NJ 07940-1807

National Provider Directory

National Provider Directory

Locations

26 Waverly Pl
Madison, NJ 07940
Phone (973) 377-7144

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1073785796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 WAVERLY PL",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 WAVERLY PL",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401807",
            "telephone_number": "973-377-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYEGLASS SHOPPE OF MADISON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "ZICCARELLO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-377-7144",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.