New Jersey Optometric Care PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

NEW JERSEY OPTOMETRIC CARE PC

Practice address

1075 Easton Ave Ste 1-2B
Somerset, NJ 08873-1648

Phone

(732) 214-1600

Fax

(732) 214-0124

NPI assigned

Jan 15, 2021

Organization subpart

No

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

Authorized official

Name

Michelle Yudina, OD

Title

Owner

Phone

(718) 514-3170

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1245829092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 EASTON AVE STE 1-2B",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731648",
            "telephone_number": "732-214-1600",
            "fax_number": "732-214-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 EASTON AVE STE 1-2B",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731648",
            "telephone_number": "732-214-1600",
            "fax_number": "732-214-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY OPTOMETRIC CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "YUDINA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-514-3170",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Somerset, NJ
• Providers in Somerset, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.