Organization Active NPI

Eyecare First LLC

  • Optometrist
  • Norwood, NJ
National Provider Identifier
1285327775
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYECARE FIRST LLC
Practice address
445 Livingston St Unit 6
Norwood, NJ 07648-1311
Phone
(609) 576-4625
NPI assigned
May 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Nancy PhungNPI 1679144588
Title
Optometrist
Phone
(609) 576-2546

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: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

445 Livingston St Unit 6
Norwood, NJ 07648-1311

Mailing address

455 Livingston St Ste 6
Norwood, NJ 07648-1360
Phone (551) 202-2131

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240729003530 NJ Part B Supplier - Clinic/Group Practice 3072059856 Receives reassigned benefits from 1 practitioner
Practice locations: Norwood, NJ

National Provider Directory

National Provider Directory

Locations

455 Livingston St
Ste 6
Norwood, NJ 07648
Phone (551) 202-2131

445 Livingston St
Unit 6
Norwood, NJ 07648
Phone (609) 576-4625

Practitioners & affiliated clinicians

Practitioners 1

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": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1285327775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 LIVINGSTON ST STE 6",
            "city": "NORWOOD",
            "state": "NJ",
            "postal_code": "076481360",
            "telephone_number": "551-202-2131",
            "fax_number": "551-202-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 LIVINGSTON ST UNIT 6",
            "city": "NORWOOD",
            "state": "NJ",
            "postal_code": "076481311",
            "telephone_number": "609-576-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE FIRST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "PHUNG",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "609-576-2546"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, NJ

Sources for this page

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