Active NPI
Vincent R. Vicci, Jr. O.D., P.a.
- Low Vision Rehabilitation Optometrist
- Westfield, NJ
National Provider Identifier
1295934651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Rehabilitation Optometrist
- License
- 270A00416900
- Legal business name
- VINCENT R. VICCI, JR. O.D., P.A.
- Practice address
- 592 Springfield Ave
Westfield, NJ 07090-1002 - Phone
- (908) 654-7950
- Fax
- (908) 654-7956
- NPI assigned
- Jul 16, 2007
- 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. Vincent Richard Vicci Jr., O.D.
- Title
- Owner
- Phone
- (908) 654-7950
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Low Vision Rehabilitation Optometrist | 152WL0500X | 270A00416900 | NJ | Primary |
| Pediatric Optometrist | 152WP0200X | 270A00416900 | NJ | |
| Vision Therapy Optometrist | 152WV0400X | 270A00416900 | NJ |
Addresses
Primary practice location
592 Springfield Ave
Westfield, NJ 07090-1002
Mailing address
592 Springfield Ave
Westfield, NJ 07090-1002
Phone (908) 654-7950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 093938 | Other | NJ | MEDICARE GROUP # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
592 Springfield Ave
Westfield, NJ 07090
Phone (908) 301-0888
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Low Vision Rehabilitation Optometrist
- Westfield, NJ
- NPI 1184781213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364947200000",
"number": "1295934651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "592 SPRINGFIELD AVE",
"city": "WESTFIELD",
"state": "NJ",
"postal_code": "070901002",
"telephone_number": "908-654-7950",
"fax_number": "908-654-7956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "592 SPRINGFIELD AVE",
"city": "WESTFIELD",
"state": "NJ",
"postal_code": "070901002",
"telephone_number": "908-654-7950",
"fax_number": "908-654-7956"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VINCENT R. VICCI, JR. O.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-16",
"last_updated": "2013-04-03",
"status": "A",
"authorized_official_last_name": "VICCI",
"authorized_official_first_name": "VINCENT",
"authorized_official_middle_name": "RICHARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "908-654-7950",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152WL0500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "NJ",
"license": "270A00416900",
"primary": true
},
{
"code": "152WP0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Pediatrics",
"state": "NJ",
"license": "270A00416900",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Vision Therapy",
"state": "NJ",
"license": "270A00416900",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP #",
"identifier": "093938",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.