NPIMap

Organization Active NPI

Supreme Eye Center Inc

  • Optometrist
  • Rockaway, NJ
National Provider Identifier
1366547838
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00595700 Issued in NJ
Legal business name
SUPREME EYE CENTER INC
Practice address
301 Mount Hope Ave
Suite# 2043
Rockaway, NJ 07866-2130
Phone
(973) 366-3402
Fax
(973) 366-5072
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Nancy E Choe, ODNPI 1154417392
Title
Doctor
Phone
(973) 366-3402

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 27OA00595700 NJ Primary

Addresses

Primary practice location

301 Mount Hope Ave
Suite# 2043
Rockaway, NJ 07866-2130

Mailing address

301 Mount Hope Ave
Suite# 2043
Rockaway, NJ 07866-2130
Phone (973) 366-3402

Other identifiers 1

IdentifierTypeStateIssuer
0050113MedicaidNJ

Other names 1

  • STERLING OPTICAL Doing business as

National Provider Directory

National Provider Directory

Locations

301 Mount Hope Ave
Ste 2043
Rockaway, NJ 07866
Phone (973) 366-3402

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366547838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MOUNT HOPE AVE",
            "address_2": "SUITE# 2043",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078662130",
            "telephone_number": "973-366-3402",
            "fax_number": "973-366-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MOUNT HOPE AVE",
            "address_2": "SUITE# 2043",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078662130",
            "telephone_number": "973-366-3402",
            "fax_number": "973-366-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME EYE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHOE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "973-366-3402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00595700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0050113",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STERLING OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockaway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.