Organization Active NPI

Ae Optometry LLC

  • Optometrist
  • Hackettstown, NJ
National Provider Identifier
1457020612
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
AE OPTOMETRY LLC
Practice address
2045 Route 57
Hackettstown, NJ 07840-3533
Phone
(908) 366-4951
Fax
(908) 813-0628
NPI assigned
Sep 10, 2021
Last updated
Feb 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Authorized official

Name
Mrs. Fikreta Ribic
Title
Owner
Phone
(908) 268-7106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

2045 Route 57
Hackettstown, NJ 07840-3533

Mailing address

2045 Route 57
Hackettstown, NJ 07840-3533
Phone (908) 366-4951

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL aeoptics@outlook.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220224001702 NJ Part B Supplier - Clinic/Group Practice 3476947078 Receives reassigned benefits from 3 practitioners
Practice locations: Hackettstown, NJ

National Provider Directory

National Provider Directory

Locations

2045 State Route 57
Hackettstown, NJ 07840
Phone (908) 366-4951

Practitioners & affiliated clinicians

Practitioners 4

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": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1457020612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 ROUTE 57",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078403533",
            "telephone_number": "908-366-4951",
            "fax_number": "908-813-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 ROUTE 57",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078403533",
            "telephone_number": "908-366-4951",
            "fax_number": "908-813-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AE OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-10",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "RIBIC",
        "authorized_official_first_name": "FIKRETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-268-7106",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "aeoptics@outlook.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "address_1": "2045 Route 57",
            "city": "Hackettstown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "078403533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.