Organization Active NPI

The Eye Center of Clark

  • Optometrist
  • Clark, NJ
National Provider Identifier
1124282298
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4648 Issued in NJ
Legal business name
THE EYE CENTER OF CLARK
Practice address
86 Westfield Ave
Clark, NJ 07066-2427
Phone
(732) 381-3113
NPI assigned
Jul 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Dr. Robert Alexander Neveloff, OD
Title
Optometrist
Phone
(732) 381-3113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4648 NJ Primary

Addresses

Primary practice location

86 Westfield Ave
Clark, NJ 07066-2427

Mailing address

86 Westfield Ave
Clark, NJ 07066-2427
Phone (732) 381-3113

National Provider Directory

National Provider Directory

Locations

86 Westfield Ave
Clark, NJ 07066
Phone (201) 381-3113

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1124282298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 WESTFIELD AVE",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070662427",
            "telephone_number": "732-381-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 WESTFIELD AVE",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070662427",
            "telephone_number": "732-381-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE CENTER OF CLARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "NEVELOFF",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "732-381-3113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "4648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.