NPIMap

Organization Active NPI

High Mountain Eyecare, LLC

  • Optometrist
  • North Haledon, NJ
National Provider Identifier
1144351560
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OA5324 Issued in NJ
Legal business name
HIGH MOUNTAIN EYECARE, LLC
Practice address
33 Sicomac Rd
Suite 204
North Haledon, NJ 07508-2971
Phone
(973) 427-7801
Fax
(973) 427-7969
NPI assigned
Mar 8, 2007
Last updated
Aug 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Authorized official

Name
Dr. David Rajkowski, O.D.NPI 1386622140
Title
Owner
Phone
(973) 427-7801

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)CodeLicenseStatePrimary
Optometrist 152W00000X OA5324 NJ Primary

Addresses

Primary practice location

33 Sicomac Rd
Suite 204
North Haledon, NJ 07508-2971

Mailing address

33 Sicomac Rd
Suite 204
North Haledon, NJ 07508-2971
Phone (973) 427-7801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050323000095 NJ Part B Supplier - Clinic/Group Practice 7618923798 Receives reassigned benefits from 7 practitioners
Practice locations: North Haledon, NJ

National Provider Directory

National Provider Directory

Locations

33 Sicomac Rd
Ste 2
North Haledon, NJ 07508

33 Sicomac Rd
Ste 204
North Haledon, NJ 07508
Phone (973) 427-7801

Practitioners & affiliated clinicians

Practitioners 8

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1144351560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 SICOMAC RD",
            "address_2": "SUITE 204",
            "city": "NORTH HALEDON",
            "state": "NJ",
            "postal_code": "075082971",
            "telephone_number": "973-427-7801",
            "fax_number": "973-427-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 SICOMAC RD",
            "address_2": "SUITE 204",
            "city": "NORTH HALEDON",
            "state": "NJ",
            "postal_code": "075082971",
            "telephone_number": "973-427-7801",
            "fax_number": "973-427-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH MOUNTAIN EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "RAJKOWSKI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-427-7801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA5324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haledon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.

Verify at the official NPI Registry.