Active NPI
Eyes of Joy
- Optometrist
- Elizabeth, NJ
National Provider Identifier
1114144599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA000498900
- Legal business name
- EYES OF JOY
- Doing business as
- Jersey Gardens Optometric
- Practice address
- 651 Kapkowski Rd
Suite1236
Elizabeth, NJ 07201 - Phone
- (908) 354-1077
- Fax
- (908) 354-1344
- NPI assigned
- Apr 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jacquetta Edwards, O.D.
- Title
- Optometrist
- Phone
- (908) 354-1077
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA000498900 | NJ | Primary |
Addresses
Primary practice location
651 Kapkowski Rd
Suite1236
Elizabeth, NJ 07201
Mailing address
651 Kapkowski Rd
1236
Elizabeth, NJ 07201
Phone (908) 354-1077
Other names 1
- Jersey Gardens Optometric
National Provider Directory
National Provider DirectoryLocations
651 Kapkowski Rd
Ste 1236
Elizabeth, NJ 07201
Phone (908) 249-4047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1114144599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 KAPKOWSKI RD",
"address_2": "1236",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "07201",
"telephone_number": "908-354-1077",
"fax_number": "908-354-1344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 KAPKOWSKI RD",
"address_2": "SUITE1236",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "07201",
"telephone_number": "908-354-1077",
"fax_number": "908-354-1344"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYES OF JOY",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "JACQUETTA",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "908-354-1077",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA000498900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jersey Gardens Optometric",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Elizabeth, NJ
Sources for this page
- 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.