Bayonne Wise Optical Center

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

D3143 Issued in NJ

Legal business name

BAYONNE WISE OPTICAL CENTER

Practice address

590 Broadway
Bayonne, NJ 07002-3826

Phone

(201) 823-3998

Fax

(201) 823-2181

NPI assigned

Jun 23, 2007

Last updated

Aug 22, 2020By 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

Mr. Pedro Virgilio Perez, OPTICIAN

Title

Owner

Phone

(201) 823-3998

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1182556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225234537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023826",
            "telephone_number": "201-823-3998",
            "fax_number": "201-823-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023826",
            "telephone_number": "201-823-3998",
            "fax_number": "201-823-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYONNE WISE OPTICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "VIRGILIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-823-3998",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NJ",
            "license": "D3143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bayside Medical and Rehabilitation Center PC
• BCP Pharmacy LLC (BMC Pharmacy)
• Linda Bearfield
• Michael Bednarski
• Brian Keith Beebe, BS, DC

• Health Service Clinic/Center in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Health Service Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.