Pavonia Optical Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

31TD00155100 Issued in NJ

Legal business name

PAVONIA OPTICAL INC.

Practice address

600 Pavonia Ave
6TH Floor
Jersey City, NJ 07306-2929

Phone

(201) 963-9187

NPI assigned

Oct 15, 2007

Last updated

Dec 14, 2007By 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

Glenn Lurie, OPHTHALMIC DISPENSER

Title

Manager

Phone

(201) 963-9187

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.

• William H. Constad, M.D.

  • Ophthalmology Physician
  • Millburn, NJ
  • NPI 1437267630
  NPD (past)

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1316136401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PAVONIA AVE",
            "address_2": "6TH FLOOR",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07306",
            "telephone_number": "201-963-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PAVONIA AVE",
            "address_2": "6TH FLOOR",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062929",
            "telephone_number": "201-963-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVONIA OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "LURIE",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-963-9187",
        "authorized_official_credential": "OPHTHALMIC DISPENSER"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NJ",
            "license": "31TD00155100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pauline Raitses DO PC
• Shawn Paulling
• Pavonia Diagnostic Imaging, PA
• Pavonia Gastroenterology LLC
• Pavonia Medical Imaging Inc
• Pavonia Radiology Center, Inc.
• Peace Care Transportation Inc
• Peace Health Care Services LLC
• Kierra Monique Pean, PSYD
• Gloria Pecherski, L.S.W.

• Eyewear Supplier in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Eyewear Supplier in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.