Organization Active NPI

Khanna Eye Associates, LLC

  • Optometrist
  • Cedar Knolls, NJ
National Provider Identifier
1154477677
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00611000 Issued in NJ
Legal business name
KHANNA EYE ASSOCIATES, LLC
Practice address
178 E Hanover Ave Ste 105
Cedar Knolls, NJ 07927-2038
Phone
(215) 450-4239
Fax
(973) 588-3941
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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

Authorized official

Name
Dr. Manoj Khanna, O.D.
Title
Optometrist
Phone
(215) 450-4239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 27OA00611000 NJ Primary

Addresses

Primary practice location

178 E Hanover Ave Ste 105
Cedar Knolls, NJ 07927-2038

Mailing address

5 Chestnut Rd
Cedar Knolls, NJ 07927
Phone (215) 450-4239

Other identifiers 2

IdentifierTypeStateIssuer
PA1493-03OtherNJEYEMED
60588OtherNJSPECTERA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510704000000",
    "number": "1154477677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CHESTNUT RD",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "07927",
            "telephone_number": "215-450-4239",
            "fax_number": "973-588-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 E HANOVER AVE STE 105",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079272038",
            "telephone_number": "215-450-4239",
            "fax_number": "973-588-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHANNA EYE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2017-11-15",
        "status": "A",
        "authorized_official_last_name": "KHANNA",
        "authorized_official_first_name": "MANOJ",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "215-450-4239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00611000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "PA1493-03",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "60588",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Knolls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.