Individual provider Active NPI

Vincent Richard Vicci Jr., OD

  • Low Vision Rehabilitation Optometrist
  • Westfield, NJ
National Provider Identifier
1184781213
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
27OA00416900 Issued in NJ
Practice address
592 Springfield Ave
Westfield, NJ 07090-1002
Phone
(908) 654-7950
Fax
(908) 654-7956
NPI assigned
Jan 1, 2007
Last updated
Apr 3, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation Optometrist 152WL0500X 27OA00416900 NJ Primary
Pediatric Optometrist 152WP0200X 27OA00416900 NJ
Vision Therapy Optometrist 152WV0400X 27OA00416900 NJ

Addresses

Primary practice location

592 Springfield Ave
Westfield, NJ 07090-1002

Mailing address

592 Springfield Ave
Westfield, NJ 07090-1002
Phone (908) 654-7950

Other identifiers 1

IdentifierTypeStateIssuer
521477UJ2OtherNJMEDICARE RENDERING DOCTOR

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
I20050920000041 NJ Practitioner - Optometry 6901833268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

592 Springfield Ave
Westfield, NJ 07090-1002
Phone (908) 654-7950

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vincent R. Vicci, Jr. O.D., P.a. Low Vision Rehabilitation CurrentSince Aug 1, 1983 Accepting new patients

Locations

592 Springfield Ave
Westfield, NJ 07090
Phone (908) 301-0888

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1184781213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "592 SPRINGFIELD AVE",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070901002",
            "telephone_number": "908-654-7950",
            "fax_number": "908-654-7956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "592 SPRINGFIELD AVE",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070901002",
            "telephone_number": "908-654-7950",
            "fax_number": "908-654-7956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICCI",
        "first_name": "VINCENT",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-01",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "NJ",
            "license": "27OA00416900",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NJ",
            "license": "27OA00416900",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NJ",
            "license": "27OA00416900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RENDERING DOCTOR",
            "identifier": "521477UJ2",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

Verify at the official NPI Registry.