NPIMap

Organization Active NPI

Ira Krumholtz O.D.,P.a.

  • Optometrist
  • Franklin Park, NJ
National Provider Identifier
1265802995
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OA5160 Issued in NJ
Legal business name
IRA KRUMHOLTZ O.D.,P.A.
Practice address
3391 Highway 27
Suite 127
Franklin Park, NJ 08823
Phone
(732) 940-0900
NPI assigned
Oct 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Authorized official

Name
Dr. Ira Krumholtz, ODNPI 1659344570
Title
President/Optometrist
Phone
(732) 940-0900

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)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OA5160 NJ Primary

Addresses

Primary practice location

3391 Highway 27
Suite 127
Franklin Park, NJ 08823

Mailing address

3391 Highway 27
Franklin Park, NJ 08823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151008000230 NJ Part B Supplier - Clinic/Group Practice 3577686559 Receives reassigned benefits from 2 practitioners
Practice locations: Franklin Park, NJ

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

3391 State Route 27
Ste 112
Franklin Park, NJ 08823
Phone (732) 940-0900

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1265802995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3391 HIGHWAY 27",
            "city": "FRANKLIN PARK",
            "state": "NJ",
            "postal_code": "08823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3391 HIGHWAY 27",
            "address_2": "SUITE 127",
            "city": "FRANKLIN PARK",
            "state": "NJ",
            "postal_code": "08823",
            "telephone_number": "732-940-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRA KRUMHOLTZ O.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "KRUMHOLTZ",
        "authorized_official_first_name": "IRA",
        "authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "732-940-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA5160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.