Elegant Optical LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

License

3287 Issued in NJ

Legal business name

ELEGANT OPTICAL LLC

Practice address

211 W Front St
114
Plainfield, NJ 07060-1107

Phone

(908) 755-2500

Fax

(908) 755-2507

NPI assigned

Apr 27, 2010

Organization subpart

No

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

Authorized official

Name

Utenzi Miller-Johnson, DO

Title

Optician

Phone

(908) 755-2500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1376860601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W FRONT ST",
            "address_2": "114",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070601107",
            "telephone_number": "908-755-2500",
            "fax_number": "908-755-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W FRONT ST",
            "address_2": "114",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070601107",
            "telephone_number": "908-755-2500",
            "fax_number": "908-755-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEGANT OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "MILLER-JOHNSON",
        "authorized_official_first_name": "UTENZI",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "908-755-2500",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NJ",
            "license": "3287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optician in Plainfield, NJ
• Providers in Plainfield, NJ by specialty
• Optician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.