Active NPI
Barrios Vision LLC
- Optometrist
- Green Brook, NJ
National Provider Identifier
1124380357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00624200
- Legal business name
- BARRIOS VISION LLC
- Practice address
- 221 US Highway 22
Green Brook, NJ 08812-1921 - Phone
- (732) 968-4114
- Fax
- (732) 968-6966
- NPI assigned
- Jun 13, 2012
- 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. Jesus L Barrios, O.D.
- Title
- Owner
- Phone
- (732) 968-4114
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00624200 | NJ | Primary |
Addresses
Primary practice location
221 US Highway 22
Green Brook, NJ 08812-1921
Mailing address
221 US Highway 22
Green Brook, NJ 08812-1921
Phone (732) 968-4114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 248410 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150423001721 | NJ | Part B Supplier - Clinic/Group Practice | 3375861347 |
Receives reassigned benefits from 1 practitioner Practice locations: Green Brook, NJ |
National Provider Directory
National Provider DirectoryPractitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415836800000",
"number": "1124380357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 US HIGHWAY 22",
"city": "GREEN BROOK",
"state": "NJ",
"postal_code": "088121921",
"telephone_number": "732-968-4114",
"fax_number": "732-968-6966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 US HIGHWAY 22",
"city": "GREEN BROOK",
"state": "NJ",
"postal_code": "088121921",
"telephone_number": "732-968-4114",
"fax_number": "732-968-6966"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARRIOS VISION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-13",
"last_updated": "2014-11-13",
"status": "A",
"authorized_official_last_name": "BARRIOS",
"authorized_official_first_name": "JESUS",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "732-968-4114",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00624200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "248410",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Green Brook, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.