Active NPI
Princeton Eye Group PA
- Eyewear Supplier
- Monroe Township, NJ
National Provider Identifier
1245682806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- D-1782
- Legal business name
- PRINCETON EYE GROUP PA
- Practice address
- 1600 Perrineville Rd
Monroe Township, NJ 08831-4923 - Phone
- (609) 655-7776
- Fax
- (609) 655-3685
- NPI assigned
- Jul 7, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Y Wong, M.D.
- Title
- President
- Phone
- (609) 921-9437
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | D-1782 | NJ | Primary |
Addresses
Primary practice location
1600 Perrineville Rd
Monroe Township, NJ 08831-4923
Mailing address
419 N Harrison St
Suite 104
Princeton, NJ 08540-3521
Phone (609) 921-9437
Other names 1
- The Optical Shoppe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170510002592 | NJ | DME Supplier - Physician - Ophthalmology | 8426027731 | Practice locations: Monroe Township, NJ |
Other NPIs with the same Medicare PAC ID 4
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Optical Shoppe
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optician
- Princeton, NJ
- NPI 1437376522
-
- Eyewear Supplier
- Somerset, NJ
- NPI 1013461169
-
- Eyewear Supplier
- Princeton, NJ
- NPI 1881149227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1467849600000",
"number": "1245682806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 N HARRISON ST",
"address_2": "SUITE 104",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085403521",
"telephone_number": "609-921-9437",
"fax_number": "609-921-0277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 PERRINEVILLE RD",
"city": "MONROE TOWNSHIP",
"state": "NJ",
"postal_code": "088314923",
"telephone_number": "609-655-7776",
"fax_number": "609-655-3685"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRINCETON EYE GROUP PA",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-07",
"last_updated": "2016-07-07",
"status": "A",
"authorized_official_last_name": "WONG",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "609-921-9437",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "NJ",
"license": "D-1782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Optical Shoppe",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Monroe Township, NJ
- Pivotal Physical Therapy & Wellness Center, LLC
- Plainsboro Physical Therapy and Wellness LLC
- Miriam Golda Plumer, MSW
- Nicole Porreca, M.A. CCC-SLP
- Deepali Prasad, MD
- Princeton Eye Group,PA
- Princeton Healthcare Affiliated Physicians PC
- Pulmonary and Sleep Associates of Mercer-Bucks
- Pulmonary and Sleep Medicine Group LLC
- Vyvian K Queenan, AUD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; 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.