Organization Active NPI

Unique Eye Care PC

  • Optometrist
  • Newark, NJ
National Provider Identifier
1306437652
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
UNIQUE EYE CARE PC
Practice address
234 Ferry St
Newark, NJ 07105-5414
Phone
(973) 643-3343
NPI assigned
Jan 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Authorized official

Name
Dr. Edward A Forszt
Title
OD
Phone
(973) 643-3343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

234 Ferry St
Newark, NJ 07105-5414

Mailing address

234 Ferry St
Newark, NJ 07105-5414
Phone (973) 643-3343

Other identifiers 1

IdentifierTypeStateIssuer
1780883652MedicaidNJ

Other names 1

  • Unique Eye Care PC Former legal business name

National Provider Directory

National Provider Directory

Locations

606 Broadway
Paterson, NJ 07514
Phone (973) 278-8818

NPI Registry JSON

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1306437652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 FERRY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071055414",
            "telephone_number": "973-643-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 FERRY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071055414",
            "telephone_number": "973-643-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUE EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "FORSZT",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "973-643-3343",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780883652",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unique Eye Care PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.