NPIMap

Organization Active NPI

Nazco Optical LLC

Doing business as Gleek and Howard Opticians

  • Optician
  • Elizabeth, NJ
National Provider Identifier
1467570820
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
TD2107 Issued in NJ
Legal business name
NAZCO OPTICAL LLC
Doing business as
Gleek and Howard Opticians
Practice address
421 Morris Ave
Elizabeth, NJ 07208-3612
Phone
(908) 353-7374
Fax
(908) 353-7106
NPI assigned
Mar 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Fernando Nazco, OPTICIAN
Title
Partner
Phone
(908) 353-7374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X TD2107 NJ Primary

Addresses

Primary practice location

421 Morris Ave
Elizabeth, NJ 07208-3612

Mailing address

421 Morris Ave
Elizabeth, NJ 07208-3612
Phone (908) 353-7374

Other identifiers 1

IdentifierTypeStateIssuer
0015113MedicaidNJ

Other names 1

  • Gleek and Howard Opticians Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gleek and Howard Opticians2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467570820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 MORRIS AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083612",
            "telephone_number": "908-353-7374",
            "fax_number": "908-353-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 MORRIS AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083612",
            "telephone_number": "908-353-7374",
            "fax_number": "908-353-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZCO OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAZCO",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "908-353-7374",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NJ",
            "license": "TD2107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015113",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gleek and Howard Opticians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.