Organization Active NPI

Scotch Plains Eye Care Center

  • Optometrist
  • Scotch Plains, NJ
National Provider Identifier
1174643985
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OA004234 Issued in NJ
Legal business name
SCOTCH PLAINS EYE CARE CENTER
Practice address
350 Park Ave
Scotch Plains, NJ 07076-1121
Phone
(908) 322-8040
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

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

Authorized official

Name
Ms. Farida Capuano
Title
Associate
Phone
(908) 322-8040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OA004234 NJ Primary

Addresses

Primary practice location

350 Park Ave
Scotch Plains, NJ 07076-1121

Mailing address

350 Park Ave
Scotch Plains, NJ 07076-1121
Phone (908) 322-8040

Other identifiers 1

IdentifierTypeStateIssuer
0476404MedicaidNJ

Other names 1

  • north jersey eye care Doing business as

National Provider Directory

National Provider Directory

Locations

2713 State Rt 23
Ste 1A
Newfoundland, NJ 07435

350 Park Ave
Scotch Plains, NJ 07076
Phone (908) 322-8040

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288310400000",
    "number": "1174643985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PARK AVE",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761121",
            "telephone_number": "908-322-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PARK AVE",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761121",
            "telephone_number": "908-322-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTCH PLAINS EYE CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2010-10-29",
        "status": "A",
        "authorized_official_last_name": "CAPUANO",
        "authorized_official_first_name": "FARIDA",
        "authorized_official_title_or_position": "ASSOCIATE",
        "authorized_official_telephone_number": "908-322-8040",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA004234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0476404",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "north jersey eye care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scotch Plains, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.