Bright Eyes Optometry LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BRIGHT EYES OPTOMETRY LLC

Practice address

500 Route 35 Unit 510
Red Bank, NJ 07701-5038

Phone

(732) 232-0267

NPI assigned

Nov 11, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Haake, ODNPI 1235539701

Title

Managing Member

Phone

(732) 232-0267

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Jessica Haake, O.D.

  • Optometrist
  • Red Bank, NJ
  • NPI 1235539701

  NJ, Optometrist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1154087435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 TOWNSEND DR",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077483130",
            "telephone_number": "732-232-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ROUTE 35 UNIT 510",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015038",
            "telephone_number": "732-232-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT EYES OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "HAAKE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "732-232-0267",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Rose Brathovde, MSN, RN, BC, HNC
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• Brigadoon Opticians
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• Brighter Living LLC
• Britt Melewski Dba Melewski Counseling
• Allaina Grace Brock, LCGC

• All providers in Red Bank, NJ
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.