Active NPI
Olympus Eyecare LLC
- Optometrist
- Union City, NJ
National Provider Identifier
1356624563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00584700
- Legal business name
- OLYMPUS EYECARE LLC
- Practice address
- 3907 Bergenline Ave
Union City, NJ 07087-4819 - Phone
- (201) 865-8300
- NPI assigned
- Sep 23, 2011
- 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
- Dr. Inna Zimmerling, OD
- Title
- Owner
- Phone
- (201) 218-4485
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00584700 | NJ | Primary |
| Optometrist | 152W00000X | 27TO00124500 | NJ | |
| Optometrist | 152W00000X | 6841 | NY |
Addresses
Primary practice location
3907 Bergenline Ave
Union City, NJ 07087-4819
Mailing address
538 Undercliff Ave
Unit B
Edgewater, NJ 07020-1310
Phone (201) 218-4485
National Provider Directory
National Provider DirectoryLocations
3907 Bergenline Ave
Union City, NJ 07087
Phone (201) 865-5500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316736000000",
"number": "1356624563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "538 UNDERCLIFF AVE",
"address_2": "UNIT B",
"city": "EDGEWATER",
"state": "NJ",
"postal_code": "070201310",
"telephone_number": "201-218-4485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3907 BERGENLINE AVE",
"city": "UNION CITY",
"state": "NJ",
"postal_code": "070874819",
"telephone_number": "201-865-8300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLYMPUS EYECARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-23",
"last_updated": "2011-09-23",
"status": "A",
"authorized_official_last_name": "ZIMMERLING",
"authorized_official_first_name": "INNA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-218-4485",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00584700",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NJ",
"license": "27TO00124500",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NY",
"license": "6841",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Union City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.