Organization Active NPI

Provision Consultants PC

Doing business as West Park Eye Care

  • Optometrist
  • Ocean, NJ
National Provider Identifier
1184843161
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00582300 Issued in NJ
Legal business name
PROVISION CONSULTANTS PC
Doing business as
West Park Eye Care
Practice address
893 W Park Ave
Ocean, NJ 07712-7205
Phone
(732) 493-8700
Fax
(732) 493-8707
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Authorized official

Name
Dr. Harin Rajeev, O.D.
Title
President
Phone
(732) 493-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 27OA00582300 NJ Primary

Addresses

Primary practice location

893 W Park Ave
Ocean, NJ 07712-7205

Mailing address

893 W Park Ave
Ocean, NJ 07712-7205
Phone (732) 493-8700

Other names 1

  • West Park Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

251 Highway 35
Eatontown, NJ 07724
Phone (732) 389-7444

893 W Park Ave
Ocean, NJ 07712
Phone (732) 493-8700

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1184843161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "893 W PARK AVE",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077127205",
            "telephone_number": "732-493-8700",
            "fax_number": "732-493-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "893 W PARK AVE",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077127205",
            "telephone_number": "732-493-8700",
            "fax_number": "732-493-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVISION CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "RAJEEV",
        "authorized_official_first_name": "HARIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-493-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00582300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Park Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocean, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.