Susan Valenza Optician, Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

License

31TD00091000 Issued in NJ

Legal business name

SUSAN VALENZA OPTICIAN, INC

Practice address

148 Franklin Ave
Nutley, NJ 07110-2925

Phone

(973) 667-0444

Fax

(976) 667-2353

NPI assigned

Jan 28, 2008

Organization subpart

No

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

Authorized official

Name

Susan Valenza, DISPENSING OPTICIANNPI 1720291537

Title

Owner

Phone

(973) 667-0444

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Valenza, DISPENSING OPTICIAN

  • Optician
  • Nutley, NJ
  • NPI 1720291537
  NPD Authorized official

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1407033947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 FRANKLIN AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102925",
            "telephone_number": "973-667-0444",
            "fax_number": "976-667-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 FRANKLIN AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102925",
            "telephone_number": "973-667-0444",
            "fax_number": "976-667-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN VALENZA OPTICIAN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "VALENZA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-667-0444",
        "authorized_official_credential": "DISPENSING OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NJ",
            "license": "31TD00091000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2903008",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.