Organization Active NPI

Shore Optical

  • Eyewear Supplier
  • Marmora, NJ
National Provider Identifier
1396922332
Registry record updated Dec 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
D-1422 Issued in NJ
Legal business name
SHORE OPTICAL
Practice address
42 Tuckahoe Rd
Wayside Village
Marmora, NJ 08223-1206
Phone
(609) 399-4000
Fax
(609) 390-0228
NPI assigned
Jan 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2010

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

Authorized official

Name
Mr. Stanley William Sochocky, OPTICIAN
Title
Owner
Phone
(609) 399-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X D-1422 NJ Primary

Addresses

Primary practice location

42 Tuckahoe Rd
Wayside Village
Marmora, NJ 08223-1206

Mailing address

42 Tuckahoe Rd
Wayside Village
Marmora, NJ 08223-1206
Phone (609) 399-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110126000228 NJ DME Supplier - Optician 9133308927 Practice locations: Marmora, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Shore Optical42 Tuckahoe Rd, Marmora, NJ 08223-1205(609) 399-4000 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293062400000",
    "number": "1396922332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 TUCKAHOE RD",
            "address_2": "WAYSIDE VILLAGE",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082231206",
            "telephone_number": "609-399-4000",
            "fax_number": "609-390-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 TUCKAHOE RD",
            "address_2": "WAYSIDE VILLAGE",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082231206",
            "telephone_number": "609-399-4000",
            "fax_number": "609-390-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2010-12-23",
        "status": "A",
        "authorized_official_last_name": "SOCHOCKY",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-399-4000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NJ",
            "license": "D-1422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marmora, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.