Organization Active NPI

Olympus Eyecare LLC

  • Optometrist
  • Union City, NJ
National Provider Identifier
1356624563
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00584700 Issued in NJ
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

Updated by the provider on Sep 23, 2011

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)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 27OA00584700 NJ Primary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 27TO00124500 NJ
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.