Organization Active NPI

Lakeland Eye Care PC

  • Public Health or Welfare Agency
  • Boonton, NJ
National Provider Identifier
1467613935
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
25MA03113100 Issued in NJ
Legal business name
LAKELAND EYE CARE PC
Practice address
223 W Main St
Boonton, NJ 07005-1166
Phone
(973) 263-2080
NPI assigned
Jun 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Arlene Ahmad, MD
Title
President
Phone
(973) 263-2080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 25MA03113100 NJ Primary

Addresses

Primary practice location

223 W Main St
Boonton, NJ 07005-1166

Mailing address

223 W Main St
Boonton, NJ 07005-1166
Phone (973) 263-2080

Other identifiers 3

IdentifierTypeStateIssuer
4235040OtherNJAETNA
080153969OtherNJRAILROAD MEDICARE
2223994880OtherNJHORIZON

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1467613935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 W MAIN ST",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070051166",
            "telephone_number": "973-263-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 W MAIN ST",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070051166",
            "telephone_number": "973-263-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-263-2080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NJ",
            "license": "25MA03113100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4235040",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080153969",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON",
            "identifier": "2223994880",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boonton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.