Organization Active NPI

Aurora Eyecare of Alaska

  • Optometrist
  • West Orange, NJ
National Provider Identifier
1194531400
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
AURORA EYECARE OF ALASKA
Practice address
25 Stanford Ave
West Orange, NJ 07052-2050
Phone
(973) 640-0161
NPI assigned
Dec 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Mrs. Jamie Varghese, ODNPI 1265100242
Title
Owner
Phone
(973) 640-0161

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

25 Stanford Ave
West Orange, NJ 07052-2050

Mailing address

25 Stanford Ave
West Orange, NJ 07052-2050
Phone (973) 640-0161

Other names 1

  • AURORA EYECARE INITIATIVE Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1194531400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 STANFORD AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522050",
            "telephone_number": "973-640-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 STANFORD AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522050",
            "telephone_number": "973-640-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA EYECARE OF ALASKA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "VARGHESE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-640-0161",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AURORA EYECARE INITIATIVE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.