Organization Active NPI

Alan B Schlussel OD LLC

Doing business as Professional Eyecare of West Orange for NJ

  • Optometrist
  • West Orange, NJ
National Provider Identifier
1376123422
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ALAN B SCHLUSSEL OD LLC
Doing business as
Professional Eyecare of West Orange for NJ
Practice address
155 Prospect Ave Ste 201
West Orange, NJ 07052-4204
Phone
(973) 736-1020
NPI assigned
Apr 13, 2021
Last updated
Apr 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Authorized official

Name
Patricia Eddy
Title
Billing Manager
Phone
(517) 231-4086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

155 Prospect Ave Ste 201
West Orange, NJ 07052-4204

Mailing address

155 Prospect Ave Ste 201
West Orange, NJ 07052-4204

Other names 1

  • Professional Eyecare of West Orange for NJ Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210616000016 NJ Part B Supplier - Clinic/Group Practice 6507266368 Receives reassigned benefits from 3 practitioners
Practice locations: West Orange, NJ

National Provider Directory

National Provider Directory

Locations

155 Prospect Ave
West Orange, NJ 07052
Phone (862) 250-0126

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1376123422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 PROSPECT AVE STE 201",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 PROSPECT AVE STE 201",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524204",
            "telephone_number": "973-736-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN B SCHLUSSEL OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "EDDY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "517-231-4086"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Eyecare of West Orange for NJ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.