Individual provider Active NPI

Adam Ross Andron, O.D.

  • Optometrist
  • Paramus, NJ
National Provider Identifier
1184767477
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00593400 Issued in NJ
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0059901MedicaidNJ

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

LicenseStateTypeSpecialty
27OA00593400NJMDOptometrist
TUV005689NYMDOptometrist
OE-007865-PPAMDOptometrist

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.

Verify at the official NPI Registry.