Organization Active NPI

Akt Eye Care, LLC

Doing business as Envision Eye Care

  • Optometrist
  • Fort Lee, NJ
National Provider Identifier
1194756312
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00581500 Issued in NJ
Legal business name
AKT EYE CARE, LLC
Doing business as
Envision Eye Care
Practice address
215 Main St
Fort Lee, NJ 07024-5701
Phone
(201) 944-9889
Fax
(201) 944-9989
NPI assigned
Jul 5, 2006
Last updated
Jan 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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

Authorized official

Name
Dr. Evan Gee Young Joo, O.D.NPI 1255536736
Title
Owner/Optometrist
Phone
(201) 944-9889

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 27OA00581500 NJ Primary

Addresses

Primary practice location

215 Main St
Fort Lee, NJ 07024-5701

Mailing address

215 Main St
Fort Lee, NJ 07024-5701
Phone (201) 944-9889

Other identifiers 7

IdentifierTypeStateIssuer
311462OtherNJNVA
2944687OtherNJAETNA TRADITIONAL
3460860OtherNJAETNA HMO
0053520MedicaidNJ
6397147OtherNJCIGNA
204644OtherNJCOLE MANAGED VISION
P3545665OtherNJOXFORD

Other names 1

  • Envision Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040624001556 NJ Part B Supplier - Clinic/Group Practice 7113903857 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Lee, NJ

National Provider Directory

National Provider Directory

Locations

215 Main St
Fort Lee, NJ 07024
Phone (201) 944-9889

215 Main St
Ste 1
Fort Lee, NJ 07024
Phone (201) 944-9889

182 Main St
Ste 1
Ridgefield Park, NJ 07660
Phone (201) 229-9686

Practitioners & affiliated clinicians

Practitioners 1

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": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1194756312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 MAIN ST",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245701",
            "telephone_number": "201-944-9889",
            "fax_number": "201-944-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MAIN ST",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245701",
            "telephone_number": "201-944-9889",
            "fax_number": "201-944-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKT EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "JOO",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "GEE YOUNG",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "201-944-9889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00581500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVA",
            "identifier": "311462",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA TRADITIONAL",
            "identifier": "2944687",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3460860",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0053520",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6397147",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLE MANAGED VISION",
            "identifier": "204644",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3545665",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Envision Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.