Optical Outlet LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00660600 Issued in NJ

Legal business name

OPTICAL OUTLET LLC

Practice address

1430 Main Ave
Clifton, NJ 07011-2146

Phone

(973) 684-8400

NPI assigned

Jul 15, 2015

Last updated

Jul 15, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Aybee Ayoub

Title

Owner

Phone

(973) 684-8400

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1194109678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112146",
            "telephone_number": "973-684-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL OUTLET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "AYOUB",
        "authorized_official_first_name": "AYBEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-684-8400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00660600",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "56008349",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Paz Ong, DPT
• Beatrice Onyeador, MD
• Nisha Oommen
• Open MRI of Clifton, LLC
• Opti-Tech, LLC.
• Optical Outlet LLC
• Optimum Therapy LLC
• Optimus Medical LLC
• Oradell Anesthesia Associates LLC
• John Paul Organista, PT

• Optometrist in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.