Active NPI
Sebrow Laser Vision PA
- Ophthalmology Physician
- Fair Lawn, NJ
National Provider Identifier
1346593902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 25MA04367
- Legal business name
- SEBROW LASER VISION PA
- Practice address
- 23-00 RT. 208 South
Fair Lawn, NJ 07410 - Phone
- (201) 797-7978
- Fax
- (201) 796-3937
- NPI assigned
- Oct 19, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Osher Sebrow, MD
- Title
- Doctor
- Phone
- (201) 797-7978
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 25MA04367 | NJ | Primary |
Addresses
Primary practice location
23-00 RT. 208 South
Fair Lawn, NJ 07410
Mailing address
23-00 RT. 208 South
Fair Lawn, NJ 07410
Phone (201) 797-7978
Other names 1
- Park Avenue Eye MD
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350604800000",
"number": "1346593902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23-00 RT. 208 SOUTH",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "07410",
"telephone_number": "201-797-7978",
"fax_number": "201-796-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23-00 RT. 208 SOUTH",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "07410",
"telephone_number": "201-797-7978",
"fax_number": "201-796-3937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEBROW LASER VISION PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-19",
"last_updated": "2012-10-19",
"status": "A",
"authorized_official_last_name": "SEBROW",
"authorized_official_first_name": "OSHER",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "201-797-7978",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "NJ",
"license": "25MA04367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Park Avenue Eye MD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fair Lawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.