Individual provider Active NPI

Natalie Velazquez, O.D.

  • Optometrist
  • Passaic, NJ
National Provider Identifier
1235239591
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OA00602000 Issued in NJ
Practice address
222 Main Ave
Passaic, NJ 07055-5524
Phone
(973) 778-4662
Fax
(973) 778-3427
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OA00602000 NJ Primary

Addresses

Primary practice location

222 Main Ave
Passaic, NJ 07055-5524

Mailing address

222 Main Ave
Passaic, NJ 07055-5524
Phone (973) 778-4662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070403000380 NJ Practitioner - Optometry 3971500919 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Centers of America LLCGroup PAC ID 7315125184, 127 clinicians
Garita Vision Center, LLCGroup PAC ID 7214936947, 2 clinicians

Practice addresses (Care Compare)

1255 Broad St
Suite 104
Bloomfield, NJ 07003-3061
Phone (973) 707-5632

7418 Bergenline Ave
North Bergen, NJ 07047-5449
Phone (201) 868-1886

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as group
Quality
96.31
Promoting interoperability
100
Improvement activities
40
Cost
73.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OA00602000NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Natalie Velazquez OD and Associates Inc Optometrist CurrentSince Feb 19, 2009 Accepting new patients
Garita Vision Center, LLC Optometrist CurrentSince Apr 25, 2012 Accepting new patients
Eye Centers of America, LLC CurrentSince Oct 1, 2023 Accepting new patients
Optical on Main Inc PastSince Sep 24, 2009 Accepting new patients

Locations

1255 Broad St
Ste 104
Bloomfield, NJ 07003
Phone (973) 707-5632

108 Broughton Ave
Bloomfield, NJ 07003
Phone (973) 743-1331

1033 US Highway 46
Ste 105
Clifton, NJ 07013
Phone (973) 949-5777

466 Old Hook Rd
Ste 24E
Emerson, NJ 07630
Phone (201) 265-7515

654 Lafayette Ave
Hawthorne, NJ 07506
Phone (201) 265-7515

70 Ridge Rd
North Arlington, NJ 07031
Phone (201) 997-2332

7418 Bergenline Ave
North Bergen, NJ 07047
Phone (201) 868-1886

400 Park Pl
Secaucus, NJ 07094
Phone (201) 325-9275

229 60th St
West New York, NJ 07093
Phone (201) 863-0665

Interoperability endpoints

  • Direct secure messaging: nvelazquez@ecoa.intellechartdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1235239591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 MAIN AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555524",
            "telephone_number": "973-778-4662",
            "fax_number": "973-778-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 MAIN AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555524",
            "telephone_number": "973-778-4662",
            "fax_number": "973-778-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "NATALIE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA00602000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

Verify at the official NPI Registry.