Individual provider Active NPI

Karen D'Angelo

  • Optician
  • Hackettstown, NJ
National Provider Identifier
1174207682
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
31TD00151700 Issued in NJ
Practice address
1885 Route 57
Hackettstown, NJ 07840-3477
Phone
(908) 979-9840
Fax
(908) 979-9847
NPI assigned
Jun 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 31TD00151700 NJ Primary

Addresses

Primary practice location

1885 Route 57
Hackettstown, NJ 07840-3477

Mailing address

1885 Route 57
Hackettstown, NJ 07840-3477
Phone (908) 979-9840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
31TD00151700NJMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Vision Care LLC CurrentSince Jun 18, 2023 Accepting new patients

Locations

1885 Route 57
Hackettstown, NJ 07840
Phone (908) 325-1767

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1174207682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 ROUTE 57",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078403477",
            "telephone_number": "908-979-9840",
            "fax_number": "908-979-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 ROUTE 57",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078403477",
            "telephone_number": "908-979-9840",
            "fax_number": "908-979-9847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ANGELO",
        "first_name": "KAREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NJ",
            "license": "31TD00151700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.