Organization Active NPI

Eye Centers of America, LLC

  • Optometrist
  • Union City, NJ
National Provider Identifier
1447529557
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00505700 Issued in NJ
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

Updated by the provider on Dec 4, 2018

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

Authorized official

Name
Joselyn L. Estevez, ODNPI 1730167305
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0293016MedicaidNJ

Other names 1

  • ESTEVEZ AND ASSOCIATES VISION CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120119000864 NJ Part B Supplier - Clinic/Group Practice 3476720111 Receives reassigned benefits from 1 practitioner
Practice locations: Union City, NJ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.