Organization Active NPI

Optiluso Eyecare LLC

  • Optometrist
  • West New York, NJ
National Provider Identifier
1225993298
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OPTILUSO EYECARE LLC
Practice address
6219 Bergenline Ave
West New York, NJ 07093-1605
Phone
(908) 316-4563
NPI assigned
Dec 22, 2025
Last updated
Dec 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Authorized official

Name
Jessica Serra, ODNPI 1356982235
Title
Optometrist
Phone
(908) 316-4563

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
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

6219 Bergenline Ave
West New York, NJ 07093-1605

Mailing address

609 Meadow St
Elizabeth, NJ 07201-1620

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260202002197 NJ Part B Supplier - Clinic/Group Practice 7113405549 Receives reassigned benefits from 1 practitioner
Practice locations: West New York, NJ

National Provider Directory

National Provider Directory

Locations

6219 Bergenline Ave
West New York, NJ 07093
Phone (201) 854-6960

6219 Bergenline Ave
#1
West New York, NJ 07093
Phone (201) 974-2600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1766361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1225993298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 MEADOW ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072011620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6219 BERGENLINE AVE",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070931605",
            "telephone_number": "908-316-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTILUSO EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-22",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "SERRA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "908-316-4563",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West New York, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.