Justyna Egan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00631200 Issued in NJ

Practice address

5746 Berkshire Valley Rd
Oak Ridge, NJ 07438-9847

Phone

(973) 697-4550

Fax

(973) 697-4548

NPI assigned

Jun 21, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Optical Center Doctors Office of Newton LLC

  dba The Optical Center

  • Optometrist
  • Newton, NJ
  • NPI 1710381652
  Medicare reassignment NPD

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337990400000",
    "number": "1205122959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5746 BERKSHIRE VALLEY RD",
            "city": "OAK RIDGE",
            "state": "NJ",
            "postal_code": "074389847",
            "telephone_number": "973-697-4550",
            "fax_number": "973-697-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5746 BERKSHIRE VALLEY RD",
            "city": "OAK RIDGE",
            "state": "NJ",
            "postal_code": "074389847",
            "telephone_number": "973-697-4550",
            "fax_number": "973-697-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGAN",
        "first_name": "JUSTYNA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2012-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00631200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Department of Special Education of the Roman Catholic Diocese of Pater (Department for Persons with Disabilities, Diocese of Paterson)
• Department of Special Education of the Roman Catholic Diocese of Pater (Department for Persons with Disabilities, Diocese of Paterson)
• Department of Special Education of the Roman Catholic Diocese of Pater (Department for Persons with Disabilities, Diocese of Paterson)
• Department of Special Education of the Roman Catholic Diocese of Pater (Department for Persons with Disabilities, Diocese of Paterson)
• East Coast Medical Transportation LLC
• Evergreen Homehealth Care LLC
• Eye Institute North, L.L.C.
• Eye Institute Opticians
• Mary Magnusen Fahsbender, D.O.
• Falcon Wellness Center

• Optometrist in Oak Ridge, NJ
• Providers in Oak Ridge, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.