Your Eyes Cinnaminson

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

YOUR EYES CINNAMINSON

Doing business as

Pearle Vision

Practice address

1251 RT 130 South
Riverton, NJ 08077

Phone

(856) 829-3103

Fax

(856) 829-3103

NPI assigned

Mar 25, 2011

Last updated

Mar 25, 2011By 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. Ali Dadyan

Title

Owner

Phone

(856) 829-3103

Specialties & licenses 1

Addresses

Other names 1

• PEARLE VISION Doing business as

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1083913362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 ROUTE 130 S",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080773005",
            "telephone_number": "856-829-3103",
            "fax_number": "856-829-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 RT 130 SOUTH",
            "city": "RIVERTON",
            "state": "NJ",
            "postal_code": "08077",
            "telephone_number": "856-829-3103",
            "fax_number": "856-829-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR EYES CINNAMINSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-25",
        "last_updated": "2011-03-25",
        "status": "A",
        "authorized_official_last_name": "DADYAN",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-829-3103",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEARLE VISION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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.