NPIMap

Organization Active NPI

Northwest Optometry Group, P.a.

Doing business as Blairstown Eye Associates

  • Optometrist
  • Blairstown, NJ
National Provider Identifier
1114191715
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NORTHWEST OPTOMETRY GROUP, P.A.
Doing business as
Blairstown Eye Associates
Practice address
174 State Route 94
Blairstown, NJ 07825-2115
Phone
(908) 362-8257
NPI assigned
Apr 15, 2008
Last updated
Nov 5, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHWEST OPTOMETRY GROUP, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Authorized official

Name
Dr. Bernard Mullin, O.D.NPI 1487650354
Title
V.P.
Phone
(908) 832-9211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

174 State Route 94
Blairstown, NJ 07825-2115

Mailing address

174 State Route 94
Blairstown, NJ 07825-2115

Other names 1

  • Blairstown Eye Associates Doing business as

National Provider Directory

National Provider Directory
Part of
Branchville Eye Assoc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1114191715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 STATE ROUTE 94",
            "city": "BLAIRSTOWN",
            "state": "NJ",
            "postal_code": "078252115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 STATE ROUTE 94",
            "city": "BLAIRSTOWN",
            "state": "NJ",
            "postal_code": "078252115",
            "telephone_number": "908-362-8257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST OPTOMETRY GROUP, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST OPTOMETRY GROUP, P.A.",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "MULLIN",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "V.P.",
        "authorized_official_telephone_number": "908-832-9211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blairstown Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blairstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.