Complete Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

COMPLETE EYE CARE LLC

Practice address

205 Quaker Bridge Mall
Lawrence Township, NJ 08648

Phone

(609) 799-2285

NPI assigned

Aug 16, 2023

Last updated

Aug 16, 2023By 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

Faryal AzamNPI 1538416698

Title

Owner

Phone

(267) 241-8006

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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.

• Faryal Azam, O.D

  • Optometrist
  • Wellesley, MA
  • NPI 1538416698

  NJ

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1396528154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MULBERRY CT",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088314062",
            "telephone_number": "267-241-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 QUAKER BRIDGE MALL",
            "city": "LAWRENCE TOWNSHIP",
            "state": "NJ",
            "postal_code": "08648",
            "telephone_number": "609-799-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "AZAM",
        "authorized_official_first_name": "FARYAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-241-8006"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Lawrence Township, NJ
• Providers in Lawrence Township, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.