Parkway Eyecare Center LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PARKWAY EYECARE CENTER LLC

Practice address

50 Union Ave
Ste 104
Irvington, NJ 07111

Phone

(973) 372-4000

Fax

(973) 372-4001

NPI assigned

Jul 2, 2010

Organization subpart

No

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

Authorized official

Name

Mary Tyson

Title

Administrator

Phone

(973) 372-4000

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Brown OD Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

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

• Kimberly M Brown, OD

  • Optometrist
  • Irvington, NJ
  • NPI 1982633491
  Medicare reassignment NPD
• Andrew Ian Miller, M.D.

  • Ophthalmology Physician
  • Short Hills, NJ
  • NPI 1760439699
  Medicare reassignment NPD
• Eric Shnayder, MD

  • Ophthalmology Physician
  • Kinnelon, NJ
  • NPI 1861477465
  Medicare reassignment NPD

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1275845554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 UNION AVE",
            "address_2": "STE 104",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "07111",
            "telephone_number": "973-372-4000",
            "fax_number": "973-372-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 UNION AVE",
            "address_2": "STE 104",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "07111",
            "telephone_number": "973-372-4000",
            "fax_number": "973-372-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY EYECARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-02",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "973-372-4000"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kimberly Brown OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ann Marie Palagiano, DPM
• Thomas M Panitch, D.D.S
• Jeremy Parchment
• Jamaal Kichan Parham, CPRS
• Raj Patel
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• Optometrist in Irvington, NJ
• Providers in Irvington, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.