Passaic Vision Center ,LLC.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

PASSAIC VISION CENTER ,LLC.

Practice address

289 Monroe St.
Passaic Vision Center
Passaic, NJ 07055-5209

Phone

(973) 473-5151

Fax

(973) 473-3331

NPI assigned

Oct 3, 2007

Organization subpart

No

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

Authorized official

Name

Luis Mendoza, MDNPI 1225011950

Title

Owner

Phone

(973) 473-5151

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Passaic Vision Center

  • Ophthalmology Physician
  • Clifton, NJ
  • NPI 1770933012

  O20041101000462

  Same enrollment

Locations

Practitioners 5

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

• Luis A Mendoza, MD

  • Ophthalmology Physician
  • Passaic, NJ
  • NPI 1225011950
  Medicare reassignment NPD Authorized official
• David Eric Freilich, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Englewood, NJ
  • NPI 1295783611
  NPD (past)
• Allison B Gunzburg, M.D.

  • Ophthalmology Physician
  • South Orange, NJ
  • NPI 1235132804
  NPD (past)
• Daniel Stegman

  • Ophthalmology Physician
  • Clifton, NJ
  • NPI 1740251040
  NPD (past)
• Taryn V Tapia, O.D.

  • Optometrist
  • Edgewater, NJ
  • NPI 1497772420
  NPD (past)

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385078400000",
    "number": "1194912154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1758",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070151758",
            "telephone_number": "973-473-5151",
            "fax_number": "973-473-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 MONROE ST.",
            "address_2": "PASSAIC VISION CENTER",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555209",
            "telephone_number": "973-473-5151",
            "fax_number": "973-473-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSAIC VISION CENTER ,LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2013-11-22",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-473-5151",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0054721",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Passaic Pediatrics PA
• Passaic Pharmacy and Medical Supplies LLC
• Passaic Pharmacy Inc
• Passaic Primary Care Physicians LLC
• Passaic Vision Care, P.C
• Akshaykumar Patel
• Milan D Patel, M.D.
• Mukesh R Patel, RPH
• Nileshkumar Patel
• Smita Girish Patel, RPH

• Eyewear Supplier in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Eyewear Supplier in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.