Active NPI
Eye Centers of America, LLC
- Optometrist
- Union City, NJ
National Provider Identifier
1447529557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00505700
- Legal business name
- EYE CENTERS OF AMERICA, LLC
- Practice address
- 517 41St St
Union City, NJ 07087-3793 - Phone
- (201) 866-2440
- NPI assigned
- Dec 19, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joselyn L. Estevez, OD
- Title
- Doctor
- Phone
- (201) 866-2440
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00505700 | NJ | Primary |
Addresses
Primary practice location
517 41St St
Union City, NJ 07087-3793
Mailing address
1255 Broad St
Ste 104
Bloomfield, NJ 07003
Phone (973) 707-7057
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0293016 | Medicaid | NJ |
Other names 1
- ESTEVEZ AND ASSOCIATES VISION CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
369 W Blackwell St
Ste One
Dover, NJ 07801
Phone (973) 366-0008
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Union City, NJ
- NPI 1730167305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1543881600000",
"number": "1447529557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 BROAD ST",
"address_2": "STE 104",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "07003",
"telephone_number": "973-707-7057",
"fax_number": "973-337-8361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 41ST ST",
"city": "UNION CITY",
"state": "NJ",
"postal_code": "070873793",
"telephone_number": "201-866-2440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE CENTERS OF AMERICA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-19",
"last_updated": "2018-12-04",
"status": "A",
"authorized_official_last_name": "ESTEVEZ",
"authorized_official_first_name": "JOSELYN",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "201-866-2440",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00505700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0293016",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ESTEVEZ AND ASSOCIATES VISION CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Union City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.