Family Eye Care of Old Bridge, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4635 Issued in NJ

Legal business name

FAMILY EYE CARE OF OLD BRIDGE, PC

Practice address

3111 Route 9
Old Bridge, NJ 08857-2690

Phone

(732) 679-2020

Fax

(732) 679-6980

NPI assigned

Feb 19, 2008

Organization subpart

No

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

Authorized official

Name

S Moshe Roth, OD

Title

Optometrist

Phone

(739) 653-2929

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Eye Care Other name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• S Moshe Roth, OD

  • Optometrist
  • Old Bridge, NJ
  • NPI 1124026687
  Medicare reassignment Care Compare group NPD
• Steffani Viveros, OD

  • Optometrist
  • Old Bridge, NJ
  • NPI 1609409333
  Medicare reassignment Care Compare group NPD
• Carolyn Raccuglia Lobocchiaro, O.D.

  • Optometrist
  • Edison, NJ
  • NPI 1376741181
  NPD (past)
• Elizabeth Nace, OD

  • Pediatric Optometrist
  • Los Angeles, CA
  • NPI 1720561855
  NPD (past)

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1104094622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 ROUTE 9",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572690",
            "telephone_number": "732-679-2020",
            "fax_number": "732-679-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 ROUTE 9",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572690",
            "telephone_number": "732-679-2020",
            "fax_number": "732-679-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYE CARE OF OLD BRIDGE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "S",
        "authorized_official_middle_name": "MOSHE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "739-653-2929",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "4635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5021103",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Eye Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Evergreen Medical Supplies LLC
• Everhearts Cardiology LLC
• Excel Urgent Care of NJ LLC
• Sandra Fahmy, D.O.
• Ronald William Falcon, MD
• Family One Enterprises, Inc.
• Peter C Fan, AUDIOLOGIST (AUD)
• Daniel Fanouse, DO
• Farida Ali DDS LLC
• Khadija Farooq, DO

• Optometrist in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.