Organization Active NPI

Edison Optical Corporation

Doing business as Professional Eyecare Services

  • Optometrist
  • Edison, NJ
National Provider Identifier
1245356062
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EDISON OPTICAL CORPORATION
Doing business as
Professional Eyecare Services
Practice address
940 Amboy Ave
Edison, NJ 08837-2811
Phone
(738) 738-1904
Fax
(732) 738-6006
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Authorized official

Name
Ms. Christine L McEneny, BA
Title
Practice Administrator
Phone
(732) 738-1904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

940 Amboy Ave
Edison, NJ 08837-2811

Mailing address

940 Amboy Ave
Edison, NJ 08837-2811
Phone (738) 738-1904

Other names 1

  • PROFESSIONAL EYECARE SERVICES Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1245356062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 AMBOY AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372811",
            "telephone_number": "738-738-1904",
            "fax_number": "732-738-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 AMBOY AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372811",
            "telephone_number": "738-738-1904",
            "fax_number": "732-738-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDISON OPTICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "MCENENY",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "732-738-1904",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROFESSIONAL EYECARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.