Optical Source, LTD.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00364701 Issued in NJ

Legal business name

OPTICAL SOURCE, LTD.

Practice address

349G Matawan Rd
Matawan, NJ 07747-3907

Phone

(732) 583-2800

Fax

(732) 583-2829

NPI assigned

Apr 6, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jodie Cohen

Title

Owner

Phone

(732) 583-2800

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alisa S Newman-Silberman

  • Optometrist
  • Matawan, NJ
  • NPI 1255412524
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316060494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349G MATAWAN RD",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473907",
            "telephone_number": "732-583-2800",
            "fax_number": "732-583-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349G MATAWAN RD",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473907",
            "telephone_number": "732-583-2800",
            "fax_number": "732-583-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL SOURCE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "JODIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-583-2800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00364701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stephanie Osinski
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• Our Special Place, Inc.

• Optometrist in Matawan, NJ
• Providers in Matawan, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.