Organization Active NPI

Passaic Vision Care, P.C

  • Optometrist
  • Passaic, NJ
National Provider Identifier
1427314491
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00614200 Issued in NJ
Legal business name
PASSAIC VISION CARE, P.C
Practice address
670 Main Ave
Passaic, NJ 07055-5115
Phone
(973) 779-2020
Fax
(201) 865-0123
NPI assigned
Apr 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Authorized official

Name
Jessica Choi-Lee, O.DNPI 1841470713
Title
O.D
Phone
(201) 916-9224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 27OA00614200 NJ Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 27OM00065000 NJ

Addresses

Primary practice location

670 Main Ave
Passaic, NJ 07055-5115

Mailing address

7400 River Rd
#436
North Bergen, NJ 07047-7221
Phone (201) 916-9224

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1427314491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 RIVER RD",
            "address_2": "#436",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070477221",
            "telephone_number": "201-916-9224",
            "fax_number": "201-865-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 MAIN AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555115",
            "telephone_number": "973-779-2020",
            "fax_number": "201-865-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSAIC VISION CARE, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "CHOI-LEE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "O.D",
        "authorized_official_telephone_number": "201-916-9224",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00614200",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OM00065000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.