Active NPI
Long Valley Eye Care, LLC
- Optometrist
- Long Valley, NJ
National Provider Identifier
1265632251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4830
- Legal business name
- LONG VALLEY EYE CARE, LLC
- Practice address
- 62 E Mill Rd
C-8
Long Valley, NJ 07853-3118 - Phone
- (908) 876-9955
- Fax
- (908) 876-1055
- NPI assigned
- Jul 19, 2007
- 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. Christopher D Moore, OD
- Title
- Owner
- Phone
- (908) 876-9955
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4830 | NJ | Primary |
Addresses
Primary practice location
62 E Mill Rd
C-8
Long Valley, NJ 07853-3118
Mailing address
62 E Mill Rd
C-8
Long Valley, NJ 07853-3118
Phone (908) 876-9955
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124036 | Other | NJ | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
62 E Mill Rd
Ste C8
Long Valley, NJ 07853
Phone (908) 876-9955
62 E Mill Rd
Ste C4
Long Valley, NJ 07853
Phone (908) 876-9955
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Jersey City, NJ
- NPI 1952376543
-
- Optometrist
- East Hanover, NJ
- NPI 1407255870
-
- Optometrist
- Rahway, NJ
- NPI 1699393777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327363200000",
"number": "1265632251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 E MILL RD",
"address_2": "C-8",
"city": "LONG VALLEY",
"state": "NJ",
"postal_code": "078533118",
"telephone_number": "908-876-9955",
"fax_number": "908-876-1055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 E MILL RD",
"address_2": "C-8",
"city": "LONG VALLEY",
"state": "NJ",
"postal_code": "078533118",
"telephone_number": "908-876-9955",
"fax_number": "908-876-1055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONG VALLEY EYE CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-19",
"last_updated": "2012-01-24",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "908-876-9955",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NJ",
"license": "4830",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "124036",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Long Valley, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.