Garden State Eye and Vision LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00578400 Issued in NJ

Legal business name

GARDEN STATE EYE AND VISION LLC

Practice address

140 Littleton Rd
Suite 230
Parsippany, NJ 07054-1867

Phone

(973) 263-3200

Fax

(973) 263-3202

NPI assigned

Oct 3, 2007

Last updated

Jul 6, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ilaxi Rana, O.D.NPI 1790780260

Title

Ceo

Phone

(973) 263-3200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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.

• Ilaxi Rana, O.D.

  • Optometrist
  • Parsippany, NJ
  • NPI 1790780260
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1376730309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 LITTLETON RD",
            "address_2": "SUITE 230",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541867",
            "telephone_number": "973-263-3200",
            "fax_number": "973-263-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 LITTLETON RD",
            "address_2": "SUITE 230",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541867",
            "telephone_number": "973-263-3200",
            "fax_number": "973-263-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE EYE AND VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "RANA",
        "authorized_official_first_name": "ILAXI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-263-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00578400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9014403",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Gabriele, DPT
• Marilyn Eileen Gaesser, APRN
• Khilmattee Gangasarran, APN
• Angela P Garces, APN
• Christine Garcia, LAC., LMT
• Garden State Oral Surgery PA
• Garden State Orthopaedic Associates,P.a.
• Garden State Sports Medicine LLC (GS Sports Med)
• Daniel Joseph Gardner
• Disha Gehani, IBCLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.