Active NPI
Adam Ross Andron, O.D.
- Optometrist
- Paramus, NJ
National Provider Identifier
1184767477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00593400
- Practice address
- Route 4 and 17 Eye to Eye Vision Center
Garden State Plaza
Paramus, NJ 07652 - Phone
- (201) 845-8408
- Fax
- (201) 845-8685
- NPI assigned
- Feb 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00593400 | NJ | Primary |
| Optometrist | 152W00000X | TUV005689 | NY | |
| Optometrist | 152W00000X | OE-007865-P | PA |
Addresses
Primary practice location
Route 4 and 17 Eye to Eye Vision Center
Garden State Plaza
Paramus, NJ 07652
Mailing address
40 Robin LN
Plainview, NY 11803-2238
Phone (516) 433-4327
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0059901 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27OA00593400 | NJ | MD | Optometrist |
| TUV005689 | NY | MD | Optometrist |
| OE-007865-P | PA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184767477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 ROBIN LN",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118032238",
"telephone_number": "516-433-4327",
"fax_number": "201-845-8408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ROUTE 4 AND 17 EYE TO EYE VISION CENTER",
"address_2": "GARDEN STATE PLAZA",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "07652",
"telephone_number": "201-845-8408",
"fax_number": "201-845-8685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRON",
"first_name": "ADAM",
"middle_name": "ROSS",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00593400",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV005689",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OE-007865-P",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0059901",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paramus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.