NPIMap

Organization Active NPI

NJ Visionair

Doing business as Advanced Eye Care & Vision Gallery

  • Optometrist
  • Hillsborough, NJ
National Provider Identifier
1154982742
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NJ VISIONAIR
Doing business as
Advanced Eye Care & Vision Gallery
Practice address
305 Omni Dr
Hillsborough, NJ 08844-4526
Phone
(908) 281-0800
NPI assigned
Jun 24, 2019
Last updated
May 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Authorized official

Name
Dr. Sundeep Kaur, ODNPI 1679976948
Title
Owner
Phone
(610) 653-8849

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

305 Omni Dr
Hillsborough, NJ 08844-4526

Mailing address

3665 Meadow LN
North Bergen, NJ 07047-2343
Phone (610) 653-8849

Other names 1

  • Advanced Eye Care & Vision Gallery Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190812002967 NJ Part B Supplier - Clinic/Group Practice 3870820921 Receives reassigned benefits from 3 practitioners
Practice locations: Hillsborough, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1154982742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3665 MEADOW LN",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070472343",
            "telephone_number": "610-653-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 OMNI DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444526",
            "telephone_number": "908-281-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ VISIONAIR",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-24",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "SUNDEEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-653-8849",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Eye Care & Vision Gallery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Eye Care & Vision Gallery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsborough, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.