Active NPI
Hudson Eye Physicians & Surgeons, LLC
Doing business as Pavonia Optical
- Ophthalmology Physician
- Millburn, NJ
National Provider Identifier
1154720126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- HUDSON EYE PHYSICIANS & SURGEONS, LLC
- Doing business as
- Pavonia Optical
- Practice address
- 288 Millburn Ave
Millburn, NJ 07041-1622 - Phone
- (973) 912-9773
- NPI assigned
- Aug 15, 2014
- Last updated
- Jan 5, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Constad, M.D.
- Title
- Member
- Phone
- (973) 912-9773
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | |||
| Ophthalmology Physician | 207W00000X | NJ | Primary |
Addresses
Primary practice location
288 Millburn Ave
Millburn, NJ 07041-1622
Mailing address
600 Pavonia Ave
Jersey City, NJ 07306-2929
Phone (201) 963-9187
Other names 1
- Pavonia Optical
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Ophthalmology Physician
- Millburn, NJ
- NPI 1437267630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1420416000000",
"number": "1154720126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 PAVONIA AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073062929",
"telephone_number": "201-963-9187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "288 MILLBURN AVE",
"city": "MILLBURN",
"state": "NJ",
"postal_code": "070411622",
"telephone_number": "973-912-9773"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUDSON EYE PHYSICIANS & SURGEONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-15",
"last_updated": "2015-01-05",
"status": "A",
"authorized_official_last_name": "CONSTAD",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "973-912-9773",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pavonia Optical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Millburn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.