S&D Optical

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

S&D OPTICAL

Practice address

21 Lafayette Rd Ste C
Sparta, NJ 07871-3575

Phone

(973) 729-7755

NPI assigned

Nov 9, 2021

Organization subpart

No

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

Authorized official

Name

Chaulaben Patel, ODNPI 1619381126

Title

Physician/Owner

Phone

(973) 729-7755

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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

• Chaulaben Patel

  • Optometrist
  • Sparta, NJ
  • NPI 1619381126
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637798400000",
    "number": "1154087732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 LAFAYETTE RD STE C",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078713575",
            "telephone_number": "973-729-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 LAFAYETTE RD STE C",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078713575",
            "telephone_number": "973-729-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S&D OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-25",
        "certification_date": "2021-11-25",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHAULABEN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "973-729-7755",
        "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": []
}

• Danah Rumble, LPC
• Melanie M Rushnock, MS, LPC, NCC, ACS
• Grace Russo
• Kristin Gallo Russo, O.D.
• Scott J Ruvo, DDS
• Elizabeth M Sadlowski, MSW LCSW
• Sage Psychotherapy Services, LLC
• Saint Clares Behavioral Health
• Sarah Catherine Sandgran, APN
• Britt Autumn Sando, CD(DONA), LCCE

• Optometrist in Sparta, NJ
• Providers in Sparta, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.