Kearny Vision Center OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

KEARNY VISION CENTER OD PC

Practice address

405 Kearny Ave
Kearny, NJ 07032-2648

Phone

(201) 866-2020

NPI assigned

Feb 19, 2021

Organization subpart

No

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

Authorized official

Name

Chung Lee, CHUNG LEE

Title

OD

Phone

(201) 866-2020

Specialties & licenses 1

Addresses

Other names 1

• Kearny Vision Center OD PC Former legal business name

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1417540501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322648",
            "telephone_number": "201-866-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322648",
            "telephone_number": "201-866-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEARNY VISION CENTER OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHUNG",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "201-866-2020",
        "authorized_official_credential": "CHUNG LEE"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kearny Vision Center OD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.