Vibrant Vision, Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

3019 Issued in NJ

Legal business name

VIBRANT VISION, INC

Doing business as

Cohen's Fashion Optical

Practice address

1340 Willowbrook Mall
Wayne, NJ 07470-6904

Phone

(973) 785-3133

Fax

(973) 785-4322

NPI assigned

Jun 9, 2011

Last updated

Jun 9, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Karen Vandam, DO

Title

MGR

Phone

(973) 785-3133

Specialties & licenses 1

Addresses

Other names 1

• Cohen's Fashion Optical Doing business as

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1215221049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 WILLOWBROOK MALL",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706904",
            "telephone_number": "973-785-3133",
            "fax_number": "973-785-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 WILLOWBROOK MALL",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706904",
            "telephone_number": "973-785-3133",
            "fax_number": "973-785-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT VISION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "VANDAM",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "973-785-3133",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NJ",
            "license": "3019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cohen's Fashion Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eyewear Supplier in Wayne, NJ
• Providers in Wayne, 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 Jun 9, 2011; 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.