Optical Outlet LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

OPTICAL OUTLET LLC

Practice address

1430 Main Ave
Clifton, NJ 07011-2146

Phone

(973) 298-1400

NPI assigned

Jun 5, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Optical Outlet

Title

Billing

Phone

(973) 298-1400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1285047464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112146",
            "telephone_number": "973-298-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL OUTLET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "OUTLET",
        "authorized_official_first_name": "OPTICAL",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "973-298-1400",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beatrice Onyeador, MD
• Nisha Oommen
• Open MRI of Clifton, LLC
• Opti-Tech, LLC.
• Optical Outlet LLC
• Optimum Therapy LLC
• Optimus Medical LLC
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• John Paul Organista, PT
• Ortho Dental Specialists LLC

• Health Maintenance Organization in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Health Maintenance Organization in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.