Organization Active NPI

Suburban Optik, Inc

  • Eyewear Supplier
  • Berkeley Heights, NJ
National Provider Identifier
1245404631
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
31TD00136300 Issued in NJ
Legal business name
SUBURBAN OPTIK, INC
Practice address
369 Springfield Ave
Berkeley Heights, NJ 07922-1170
Phone
(908) 464-3322
Fax
(908) 665-2936
NPI assigned
Apr 16, 2008
Last updated
Jul 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Mr. Michael Paone
Title
Owner
Phone
(908) 464-3322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 31TD00136300 NJ Primary

Addresses

Primary practice location

369 Springfield Ave
Berkeley Heights, NJ 07922-1170

Mailing address

369 Springfield Ave
Berkeley Heights, NJ 07922-1170
Phone (908) 464-3322

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1245404631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 SPRINGFIELD AVE",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079221170",
            "telephone_number": "908-464-3322",
            "fax_number": "908-665-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 SPRINGFIELD AVE",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079221170",
            "telephone_number": "908-464-3322",
            "fax_number": "908-665-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN OPTIK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "PAONE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-464-3322",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NJ",
            "license": "31TD00136300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.