Individual provider Active NPI

Abyaz Uppal, OD

  • Optometrist
  • Watchung, NJ
National Provider Identifier
1184346413
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00717000 Issued in NJ
Practice address
1515 US Highway 22
Watchung, NJ 07069-6509
Phone
(908) 769-6421
NPI assigned
Sep 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 27OA00717000 NJ Primary

Addresses

Primary practice location

1515 US Highway 22
Watchung, NJ 07069-6509

Mailing address

3 Gloucester Dr
Marlboro, NJ 07746-2607
Phone (917) 572-7684

Other practice location 1

3710 US 9
Freehold, NJ 07728-4801
Phone (732) 780-3000

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
I20221018000129 NJ Practitioner - Optometry 4981070836 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Contact Lens and Vision Consultants, P.aGroup PAC ID 2466416094, 9 clinicians
Contact Lens and Vision Associates, P.aGroup PAC ID 1850355975, 7 clinicians

Practice addresses (Care Compare)

161 A Woodbridge Ctr Dr
Woodbridge, NJ 07095-1485
Phone (732) 855-7950

3710 Route 9 N
Suite 1501
Freehold, NJ 07728-4805
Phone (732) 780-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00717000NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Contact Lens and Vision Consultants, P.a Optometrist CurrentSince Sep 19, 2022 Accepting new patients
Contact Lens and Vision Associates, P.a Optometrist CurrentSince Sep 19, 2022 Accepting new patients

Locations

755 State Route 18
East Brunswick, NJ 08816
Phone (732) 238-9100

3710 Route 9 S
Ste 1501
Freehold, NJ 07728
Phone (732) 780-3000

3710 US Highway 9
Freehold, NJ 07728
Phone (732) 303-7118

161 A Woodbridge Ctr Dr
Woodbridge, NJ 07095
Phone (732) 698-1898

161 A Woodbridge Ctr Dr
Woodbridge, NJ 07095
Phone (732) 855-7950

Organizations & group practices 2

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": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1184346413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 GLOUCESTER DR",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077462607",
            "telephone_number": "917-572-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 US HIGHWAY 22",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696509",
            "telephone_number": "908-769-6421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3710 US 9",
            "address_purpose": "LOCATION",
            "city": "Freehold",
            "state": "NJ",
            "postal_code": "077284801",
            "country_code": "US",
            "telephone_number": "732-780-3000",
            "fax_number": "732-780-1235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UPPAL",
        "first_name": "ABYAZ",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00717000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watchung, NJ

Sources for this page

Verify at the official NPI Registry.