NPIMap

Organization Active NPI

In Focus Vision

  • Optometrist
  • Piscataway, NJ
National Provider Identifier
1184822678
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
IN FOCUS VISION
Practice address
1100 Centennial Ave
Suite 102
Piscataway, NJ 08854-4152
Phone
(732) 981-8000
Fax
(732) 981-8070
NPI assigned
Jul 5, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ray Selbrena Corbin-SimonNPI 1871652081
Title
Owner
Phone
(732) 981-8000

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
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

1100 Centennial Ave
Suite 102
Piscataway, NJ 08854-4152

Mailing address

1100 Centennial Ave
Suite 102
Piscataway, NJ 08854-4152
Phone (732) 981-8000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041101000731 NJ Part B Supplier - Clinic/Group Practice 0143282236 Receives reassigned benefits from 5 practitioners
Practice locations: Piscataway, NJ

National Provider Directory

National Provider Directory

Locations

1100 Centennial Ave
Ste 102
Piscataway, NJ 08854
Phone (732) 981-8000

1100 Centennial Ave
Ste 204
Piscataway, NJ 08854
Phone (732) 313-2570

Practitioners & affiliated clinicians

Practitioners 5

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": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184822678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CENTENNIAL AVE",
            "address_2": "SUITE 102",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088544152",
            "telephone_number": "732-981-8000",
            "fax_number": "732-981-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CENTENNIAL AVE",
            "address_2": "SUITE 102",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088544152",
            "telephone_number": "732-981-8000",
            "fax_number": "732-981-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN FOCUS VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORBIN-SIMON",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "SELBRENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-981-8000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piscataway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.