Optical Advantage PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

OPTICAL ADVANTAGE PC

Practice address

6 Briarcliffe Rd
Bergenfield, NJ 07621-4021

Phone

(917) 548-5083

Fax

(718) 253-2333

NPI assigned

Feb 4, 2016

Organization subpart

No

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

Authorized official

Name

Yvette Whitehead

Title

Credentialing

Phone

(718) 253-8111

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1356709422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BRIARCLIFFE RD",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076214021",
            "telephone_number": "917-548-5083",
            "fax_number": "718-253-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BRIARCLIFFE RD",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076214021",
            "telephone_number": "917-548-5083",
            "fax_number": "718-253-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL ADVANTAGE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "WHITEHEAD",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "718-253-8111"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ob1 Wellness
• Nagyla Obien, DPT
• April Rose Yap Oclaret
• Perseverance A Okai Adjetey
• One Bergen Health PC
• Optimal Health Group, LLC
• Mabel Ore, RD
• James Earl Pagaduan, APN
• Michael S. Palance, O.D.
• Edilene F Panlilio, PHYSICAL THERAPIST

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.