Eye Site Eye Care Center PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00284300 Issued in NJ

Legal business name

EYE SITE EYE CARE CENTER PC

Practice address

42 Chalford LN
Willingboro, NJ 08046-3402

Phone

(609) 871-9666

Fax

(609) 871-9669

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell James Fink, OD

Title

President

Phone

(609) 871-9666

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Brette Fink, O.D.

  • Optometrist
  • Willingboro, NJ
  • NPI 1891871687
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1336215425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 CHALFORD LN",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080463402",
            "telephone_number": "609-871-9666",
            "fax_number": "609-871-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 CHALFORD LN",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080463402",
            "telephone_number": "609-871-9666",
            "fax_number": "609-871-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SITE EYE CARE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "FINK",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-871-9666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00284300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7775806",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Errickson
• Carlene Evans, CNA
• Nathaniel Rutherford Evans II, M.D.
• Evercare Solutions
• Everside Health LLC Willingboro NJ
• Ez PZ Investments LLC
• Robin S Fabian
• Family of Ari
• Geraldine Faublas
• Claudia Faucher, R.N.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.