NPIMap

Organization Active NPI

Meyerienzo Eyecare PA

  • Optometrist
  • Jersey City, NJ
National Provider Identifier
1215159702
Registry record updated Jan 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00470600 Issued in NJ
Legal business name
MEYERIENZO EYECARE PA
Practice address
123 River Drive
Jersey City, NJ 07310
Phone
(201) 222-3937
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2009

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

Authorized official

Name
Dr. Frank Derienzo, OD
Title
President
Phone
(201) 222-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 27OA00470600 NJ Primary

Addresses

Primary practice location

123 River Drive
Jersey City, NJ 07310

Mailing address

123 River Drive
Jersey City, NJ 07310
Phone (201) 222-3937

National Provider Directory

National Provider Directory

Locations

123 River Dr S
Jersey City, NJ 07310
Phone (201) 222-3937

Practitioners & affiliated clinicians

Practitioners 4

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1215159702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 RIVER DRIVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07310",
            "telephone_number": "201-222-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 RIVER DRIVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07310",
            "telephone_number": "201-222-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEYERIENZO EYECARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "DERIENZO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-222-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00470600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; 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.