Wayne Eyecare Outlet Center

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

TD1183 Issued in NJ

Legal business name

WAYNE EYECARE OUTLET CENTER

Doing business as

clear eyes rx

Practice address

1595-2 RT. 23 South
Wayne, NJ 07470

Phone

(973) 633-1617

Fax

(973) 633-1307

NPI assigned

Mar 26, 2007

Last updated

Aug 22, 2020By 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

Mr. Fred J Siwiec

Title

VP

Phone

(973) 633-1617

Specialties & licenses 1

Addresses

Other names 1

• clear eyes rx Doing business as

Locations

Practitioners 1

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.

• Richard L Stein, O.D.

  • Optometrist
  • Wayne, NJ
  • NPI 1427065143
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083731731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595-2 RT. 23 SOUTH",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07470",
            "telephone_number": "973-633-1617",
            "fax_number": "973-633-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595-2 RT. 23 SOUTH",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07470",
            "telephone_number": "973-633-1617",
            "fax_number": "973-633-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE EYECARE OUTLET CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIWIEC",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "973-633-1617",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NJ",
            "license": "TD1183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "clear eyes rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Wayne Family Dental
• Wayne Foot and Ankle Center,PA
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• Wayne Hematology Oncology Associates P C
• Wayne Hills Medical Associates PA

• Eyewear Supplier in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Eyewear Supplier in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.