Individual provider Active NPI

Kamini Tailor, OD

  • Optometrist
  • Garwood, NJ
National Provider Identifier
1306122114
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00635400 Issued in NJ
Practice address
300 South Ave
Garwood, NJ 07027-1312
Phone
(908) 789-0101
NPI assigned
Oct 25, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00635400 NJ Primary

Addresses

Primary practice location

300 South Ave
Garwood, NJ 07027-1312

Mailing address

300 South Ave
Garwood, NJ 07027-1312
Phone (908) 789-0101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111229000254 NJ Practitioner - Optometry 4284800020 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Contact Lens and Vision Consultants, P.aGroup PAC ID 2466416094, 9 clinicians
Contact Lens and Vision Associates, P.aGroup PAC ID 1850355975, 7 clinicians

Practice addresses (Care Compare)

161 A Woodbridge Ctr Dr
Woodbridge, NJ 07095-1485
Phone (732) 855-7950

55 Parsonage Rd
Edison, NJ 08837-2480
Phone (732) 548-7337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Contact Lens and Vision Consultants, P.a Optometrist CurrentSince Mar 24, 2021 Accepting new patients
Contact Lens and Vision Associates, P.a Optometrist CurrentSince Mar 24, 2021 Accepting new patients

Locations

3710 Route 9 S
Ste 1501
Freehold, NJ 07728
Phone (732) 780-3000

161 A Woodbridge Ctr Dr
Woodbridge, NJ 07095
Phone (732) 698-1898

161 A Woodbridge Ctr Dr
Woodbridge, NJ 07095
Phone (732) 855-7950

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1306122114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SOUTH AVE",
            "city": "GARWOOD",
            "state": "NJ",
            "postal_code": "070271312",
            "telephone_number": "908-789-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SOUTH AVE",
            "city": "GARWOOD",
            "state": "NJ",
            "postal_code": "070271312",
            "telephone_number": "908-789-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAILOR",
        "first_name": "KAMINI",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00635400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garwood, NJ

Sources for this page

Verify at the official NPI Registry.