Organization Active NPI

Antena Eyecare LLC

Doing business as Antena Eyecare

  • Eyewear Supplier
  • Fort Lee, NJ
National Provider Identifier
1215772173
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
ANTENA EYECARE LLC
Doing business as
Antena Eyecare
Practice address
2033 Lemoine Ave Ste 200
Fort Lee, NJ 07024-5718
Phone
(201) 272-9700
NPI assigned
Jul 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Authorized official

Name
Dr. Jeanine E Graves, O.D.NPI 1205998234
Title
Owner
Phone
(201) 272-9700

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
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

2033 Lemoine Ave Ste 200
Fort Lee, NJ 07024-5718

Mailing address

2033 Lemoine Ave Ste 200
Fort Lee, NJ 07024-5718
Phone (201) 272-9700

Other names 1

  • Antena Eyecare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250905002817 NJ Part B Supplier - Clinic/Group Practice 7315449691 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Lee, NJ

National Provider Directory

National Provider Directory

Locations

2033 Lemoine Ave
Ste 200
Fort Lee, NJ 07024
Phone (201) 272-9700

Practitioners & affiliated clinicians

Practitioners 1

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": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1215772173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 LEMOINE AVE STE 200",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245718",
            "telephone_number": "201-272-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 LEMOINE AVE STE 200",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245718",
            "telephone_number": "201-272-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTENA EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "JEANINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-272-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Antena Eyecare",
            "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 Jul 5, 2024; 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.