Individual provider Active NPI

Maria C Domingues, O.D.

  • Optometrist
  • Irvington, NJ
National Provider Identifier
1174820682
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00630100 Issued in NJ
Practice address
1068 Clinton Ave
Irvington, NJ 07111-3501
Phone
(954) 734-0574
NPI assigned
Feb 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00630100 NJ Primary

Addresses

Primary practice location

1068 Clinton Ave
Irvington, NJ 07111-3501

Mailing address

55 Pavonia Ave
Kearny, NJ 07032-2230
Phone (201) 957-2492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110919000496 NJ Practitioner - Optometry 6800067141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Nova Southeastern Univ College of Dental Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pink Vision Associates LLCGroup PAC ID 6002087343, 4 clinicians

Practice addresses (Care Compare)

1068 Clinton Ave
Irvington, NJ 07111-3501
Phone (973) 399-0909

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00630100NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pink Vision Associates LLC Optometrist CurrentSince Sep 14, 2011 Accepting new patients

Locations

1562 Lemoine Ave
Fort Lee, NJ 07024
Phone (201) 346-9202

1068 Clinton Ave
Irvington, NJ 07111
Phone (973) 399-0909

344 Springfield Ave
Summit, NJ 07901
Phone (908) 273-3848

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": "1297900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1174820682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 PAVONIA AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322230",
            "telephone_number": "201-957-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 CLINTON AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071113501",
            "telephone_number": "954-734-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUES",
        "first_name": "MARIA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-17",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00630100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, NJ

Sources for this page

Verify at the official NPI Registry.