Active NPI
Advanced Eyecare of Washington, LLC
- Optometrist
- Washington, NJ
National Provider Identifier
1275972721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA000514000
- Legal business name
- ADVANCED EYECARE OF WASHINGTON, LLC
- Practice address
- 15 W Washington Ave
Washington, NJ 07882-1916 - Phone
- (908) 689-0240
- Fax
- (908) 689-0676
- NPI assigned
- Jun 18, 2013
- 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. Gigette Collazo Harfst, O.D.
- Title
- Clinical Director / Ceo
- Phone
- (908) 689-0240
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA000514000 | NJ | Primary |
Addresses
Primary practice location
15 W Washington Ave
Washington, NJ 07882-1916
Mailing address
15 W Washington Ave
Washington, NJ 07882-1916
Phone (908) 689-0240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 313860YT46 | Other | NJ | MEDICARE GROUP MEMBER PROVIDER NUMBER |
National Provider Directory
National Provider DirectoryLocations
15 W Washington Ave
Washington, NJ 07882
Phone (908) 689-0240
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Washington, NJ
- NPI 1699827204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398297600000",
"number": "1275972721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 W WASHINGTON AVE",
"city": "WASHINGTON",
"state": "NJ",
"postal_code": "078821916",
"telephone_number": "908-689-0240",
"fax_number": "908-689-0676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 W WASHINGTON AVE",
"city": "WASHINGTON",
"state": "NJ",
"postal_code": "078821916",
"telephone_number": "908-689-0240",
"fax_number": "908-689-0676"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED EYECARE OF WASHINGTON, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-18",
"last_updated": "2014-04-24",
"status": "A",
"authorized_official_last_name": "HARFST",
"authorized_official_first_name": "GIGETTE",
"authorized_official_middle_name": "COLLAZO",
"authorized_official_title_or_position": "CLINICAL DIRECTOR / CEO",
"authorized_official_telephone_number": "908-689-0240",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA000514000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP MEMBER PROVIDER NUMBER",
"identifier": "313860YT46",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.