Broadway Optics Vision

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

BROADWAY OPTICS VISION

Practice address

4610 Bergenline Ave
Union City, NJ 07087-5163

Phone

(201) 758-7600

Fax

(201) 758-7601

NPI assigned

Sep 7, 2016

Organization subpart

No

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

Authorized official

Name

Nancy Fuentes

Title

Owner

Phone

(201) 758-7600

Specialties & licenses 1

Addresses

Other names 1

• Broadway Optics Vision Doing business as

Locations

Practitioners 1

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

• Edward Arthur Forszt Jr., O.D.

  • Optometrist
  • West New York, NJ
  • NPI 1780883652
  NPD (past)

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1124575154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 BERGENLINE AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070875163",
            "telephone_number": "201-758-7600",
            "fax_number": "201-758-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 BERGENLINE AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070875163",
            "telephone_number": "201-758-7600",
            "fax_number": "201-758-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY OPTICS VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-758-7600"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadway Optics Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sofia Alexandra Boloix-Alarcon, LCSW
• Bonocore Chiropractic & Associates, P.C.
• Brian Christian Bourne, P.T.
• Cassaundra N Bracken, LCSW
• Vinod S Brahmbhatt, DDS
• Brianne Morris Brown, OTR
• Nicole Lauren Brozyna, OT
• Sucharitha Buddhe
• Tammy Bullock, BA
• Anna G Burigo

• Eyewear Supplier in Union City, NJ
• Providers in Union City, NJ by specialty
• Eyewear Supplier in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.