Advanced Eyecare Professionals LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

270O00659700 Issued in NJ

Legal business name

ADVANCED EYECARE PROFESSIONALS LLC

Practice address

410 State Route 10 BLDG 202
Ledgewood, NJ 07852-9600

Phone

(973) 584-2020

NPI assigned

Dec 11, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Danielle Gaeta, ODNPI 1700262466

Title

Optometrist

Phone

(908) 727-4687

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Danielle Gaeta, O.D.

  • Optometrist
  • Ledgewood, NJ
  • NPI 1700262466
  Medicare reassignment Care Compare group NPD Authorized official
• Krista Kaspar

  • Optometrist
  • Succasunna, NJ
  • NPI 1023692522
  Medicare reassignment Care Compare group NPD
• Heema Desai Patel, O.D

  • Optometrist
  • Ledgewood, NJ
  • NPI 1144604745
  Medicare reassignment Care Compare group NPD
• Susan McMahon Gardner, O.D.

  • Optometrist
  • Ledgewood, NJ
  • NPI 1831338102
  NPD
• Rachel Machinas Beneski, O.D.

  • Optometrist
  • Ledgewood, NJ
  • NPI 1184970402
  NPD (past)
• Jennine C Lutz, O.D

  • Optometrist
  • Ewing, NJ
  • NPI 1568411270
  NPD (past)
• Michael J. Siegel, O.D.

  • Optometrist
  • Budd Lake, NJ
  • NPI 1427035005
  NPD (past)

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512950400000",
    "number": "1255846465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 STATE ROUTE 10 BLDG 202",
            "city": "LEDGEWOOD",
            "state": "NJ",
            "postal_code": "078529600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 STATE ROUTE 10 BLDG 202",
            "city": "LEDGEWOOD",
            "state": "NJ",
            "postal_code": "078529600",
            "telephone_number": "973-584-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED EYECARE PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-11",
        "last_updated": "2017-12-11",
        "status": "A",
        "authorized_official_last_name": "GAETA",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "908-727-4687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270O00659700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Eyecare Associates, LLC
• Emmanuel Akpan, PHD,
• Julia N Akpan, MBA, MA, LCADC, CCS
• Lauren Altinok, PHARMD
• Ravi Rao Andukuri, MS, RPH
• Arc Morris County Chapter NJ Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; 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.

Verify at the official NPI Registry.