Elegant Eyes, Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

License

D1360 Issued in NJ

Legal business name

ELEGANT EYES, INC

Practice address

875 Broad St
Newark, NJ 07102-2622

Phone

(973) 622-4492

Fax

(973) 622-5919

NPI assigned

Jun 8, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Denise Vennetta Slaughter

Title

President

Phone

(973) 622-4492

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1265635932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 BROAD ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022622",
            "telephone_number": "973-622-4492",
            "fax_number": "973-622-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 BROAD ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022622",
            "telephone_number": "973-622-4492",
            "fax_number": "973-622-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEGANT EYES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "SLAUGHTER",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "VENNETTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-622-4492",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NJ",
            "license": "D1360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3349403",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optician in Newark, NJ
• Providers in Newark, NJ by specialty
• Optician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.