Organization Active NPI

Frank Bucciero OD

Doing business as Family Vision Care

  • Vision Therapy Optometrist
  • Springfield, NJ
National Provider Identifier
1467649475
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
27OM00019000 Issued in NJ
Legal business name
FRANK BUCCIERO OD
Doing business as
Family Vision Care
Practice address
100 Morris Ave
Springfield, NJ 07081-1427
Phone
(973) 376-3151
Fax
(973) 376-8176
NPI assigned
Oct 3, 2007
Last updated
Jan 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Authorized official

Name
Dr. Frank Bucciero, O.D.NPI 1861470601
Title
Owner
Phone
(973) 376-3151

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
Vision Therapy Optometrist 152WV0400X 27OM00019000 NJ Primary

Addresses

Primary practice location

100 Morris Ave
Springfield, NJ 07081-1427

Mailing address

100 Morris Ave
Springfield, NJ 07081-1427
Phone (973) 376-3151

Other identifiers 1

IdentifierTypeStateIssuer
054289OtherNJMEDICARE GROUP NUMBER

Other names 1

  • FAMILY VISION CARE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101005000222 NJ Part B Supplier - Clinic/Group Practice 5496876625 Receives reassigned benefits from 1 practitioner
Practice locations: Springfield, NJ

National Provider Directory

National Provider Directory

Locations

100 Morris Ave
Ste 100
Springfield, NJ 07081
Phone (973) 218-9050

Practitioners & affiliated clinicians

Practitioners 2

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": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1467649475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MORRIS AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811427",
            "telephone_number": "973-376-3151",
            "fax_number": "973-376-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MORRIS AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811427",
            "telephone_number": "973-376-3151",
            "fax_number": "973-376-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK BUCCIERO OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "BUCCIERO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-376-3151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NJ",
            "license": "27OM00019000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "054289",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY VISION CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.