Organization Active NPI

Brunner Eye Care

  • Optometrist
  • Westfield, NJ
National Provider Identifier
1154968386
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BRUNNER EYE CARE
Practice address
100 E Broad St
Westfield, NJ 07090-2112
Phone
(908) 232-8182
NPI assigned
Dec 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Authorized official

Name
Sanja Marinkovic, O.D.
Title
Owner, Authorized Official
Phone
(908) 232-8182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

100 E Broad St
Westfield, NJ 07090-2112

Mailing address

100 E Broad St
Westfield, NJ 07090-2112
Phone (908) 232-8182

Other names 1

  • Brunner Eye Care, LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200211000487 NJ Part B Supplier - Clinic/Group Practice 4587090527 Receives reassigned benefits from 1 practitioner
Practice locations: Westfield, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575849600000",
    "number": "1154968386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E BROAD ST",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902112",
            "telephone_number": "908-232-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E BROAD ST",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902112",
            "telephone_number": "908-232-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNNER EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-06",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A",
        "authorized_official_last_name": "MARINKOVIC",
        "authorized_official_first_name": "SANJA",
        "authorized_official_title_or_position": "OWNER, AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "908-232-8182",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brunner Eye Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.