NJ Eye Doctor Corp

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00615900 Issued in NJ

Legal business name

NJ EYE DOCTOR CORP

Doing business as

Jackson Eye Care

Practice address

180 N County Line Rd
Suite 10
Jackson, NJ 08527-4797

Phone

(732) 861-5800

Fax

(732) 987-4359

NPI assigned

Sep 14, 2009

Last updated

Jul 1, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bardha Fejzo, OD

Title

Optometrist

Phone

(732) 987-4357

Specialties & licenses 1

Addresses

Other names 1

• Jackson Eye Care Doing business as

Locations

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1457684128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N COUNTY LINE RD",
            "address_2": "SUITE 10",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274797",
            "telephone_number": "732-987-4357",
            "fax_number": "732-987-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N COUNTY LINE RD",
            "address_2": "SUITE 10",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274797",
            "telephone_number": "732-861-5800",
            "fax_number": "732-987-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ EYE DOCTOR CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-14",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "FEJZO",
        "authorized_official_first_name": "BARDHA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "732-987-4357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00615900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.