Clinton Family Eyecare Center, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OA00573300 Issued in NJ

Legal business name

CLINTON FAMILY EYECARE CENTER, LLC

Doing business as

Clinton Family Eyecare

Practice address

186 Center St
Suite 170
Clinton, NJ 08809-1385

Phone

(908) 735-5712

Fax

(908) 735-5715

NPI assigned

Dec 31, 2005

Last updated

Oct 8, 2008By 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

Dr. Jaime Blyskal Marcolini, O.D.NPI 1790875946

Title

Owner

Phone

(908) 735-5712

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Clinton Family Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 4

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.

• Jaime Blyskal Marcolini, OD

  • Optometrist
  • Clinton, NJ
  • NPI 1790875946
  Medicare reassignment Care Compare group NPD Authorized official
• Susan L Franson, O.D.

  • Optometrist
  • Bedminster, NJ
  • NPI 1508901240
  Medicare reassignment Care Compare group NPD
• William Robert Marcolini, OD

  • Optometrist
  • Iselin, NJ
  • NPI 1215928320
  Medicare reassignment Care Compare group NPD
• John Hnatyko, O.D.

  • Optometrist
  • Kearny, NJ
  • NPI 1942411004
  Medicare reassignment NPD

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

{
    "created_epoch": "1135987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1346228285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 CENTER ST",
            "address_2": "SUITE 170",
            "city": "CLINTON",
            "state": "NJ",
            "postal_code": "088091385",
            "telephone_number": "908-735-5712",
            "fax_number": "908-735-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 CENTER ST",
            "address_2": "SUITE 170",
            "city": "CLINTON",
            "state": "NJ",
            "postal_code": "088091385",
            "telephone_number": "908-735-5712",
            "fax_number": "908-735-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON FAMILY EYECARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-31",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "MARCOLINI",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "BLYSKAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-735-5712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA00573300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8666202",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinton Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chik S Chin, M.D.
• Bachar Chrife
• Carol Christofilis, PSYD
• Kelly J Ciardiello, LPC
• Clinton Center Dental NJ
• Clinton Health Services LLC
• Clinton Pharmacy, Inc (Clinton Pharmacy)
• Salvador Fernandez Coquia, M.D.
• Courtyard Adult Day Center LLC
• D. a. Yeske, Inc. (Compression Works)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.