Organization Active NPI

Liberty Eye Care

  • Optometrist
  • Trenton, NJ
National Provider Identifier
1174947691
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00646500 Issued in NJ
Legal business name
LIBERTY EYE CARE
Practice address
3452 Broidy Rd
Trenton, NJ 08641-5305
Phone
(609) 723-8957
Fax
(609) 723-6760
NPI assigned
Feb 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Authorized official

Name
Dr. Vincent John Gamuzza, OD
Title
President
Phone
(609) 723-8957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 27OA00646500 NJ Primary

Addresses

Primary practice location

3452 Broidy Rd
Trenton, NJ 08641-5305

Mailing address

3452 Broidy Rd
Trenton, NJ 08641-5305
Phone (609) 723-8957

National Provider Directory

National Provider Directory

Locations

90 Passaic Ave
Kearny, NJ 07032
Phone (201) 998-2444

NPI Registry JSON

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1174947691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3452 BROIDY RD",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086415305",
            "telephone_number": "609-723-8957",
            "fax_number": "609-723-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3452 BROIDY RD",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086415305",
            "telephone_number": "609-723-8957",
            "fax_number": "609-723-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "GAMUZZA",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-723-8957",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00646500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.