Organization Active NPI

Jersey Eye Care Inc

  • Optometrist
  • Jersey City, NJ
National Provider Identifier
1174973390
Registry record updated Jun 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00609200 Issued in NJ
Legal business name
JERSEY EYE CARE INC
Practice address
2787 John F Kennedy Blvd
Suite A9
Jersey City, NJ 07306-5531
Phone
(201) 239-8007
Fax
(201) 659-0344
NPI assigned
Jun 19, 2016
Last updated
Jun 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2016

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

Authorized official

Name
Dr. Mahmood Sindhu, ODNPI 1487850368
Title
Owner
Phone
(201) 239-8007

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 27OA00609200 NJ Primary

Addresses

Primary practice location

2787 John F Kennedy Blvd
Suite A9
Jersey City, NJ 07306-5531

Mailing address

2787 John F Kennedy Blvd
Suite A9
Jersey City, NJ 07306-5531

Other identifiers 1

IdentifierTypeStateIssuer
0137430MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191125000086 NJ Part B Supplier - Clinic/Group Practice 5597197962 Receives reassigned benefits from 1 practitioner
Practice locations: Jersey City, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1466294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466294400000",
    "number": "1174973390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2787 JOHN F KENNEDY BLVD",
            "address_2": "SUITE A9",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065531",
            "fax_number": "201-659-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2787 JOHN F KENNEDY BLVD",
            "address_2": "SUITE A9",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065531",
            "telephone_number": "201-239-8007",
            "fax_number": "201-659-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-19",
        "last_updated": "2016-06-19",
        "status": "A",
        "authorized_official_last_name": "SINDHU",
        "authorized_official_first_name": "MAHMOOD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-239-8007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00609200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0137430",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2016; 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.