Carla Eliza Domingues, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00646200 Issued in NJ

Practice address

1068 Clinton Ave
Irvington, NJ 07111-3501

Phone

(973) 399-0909

Fax

(973) 399-8366

NPI assigned

Jun 20, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pink Vision Associates LLCGroup PAC ID 6002087343, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pink Vision Associates LLC

  • Optometrist
  • Irvington, NJ
  • NPI 1417248949
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1467891721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 PAVONIA AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322230",
            "telephone_number": "973-399-0909",
            "fax_number": "973-399-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 CLINTON AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071113501",
            "telephone_number": "973-399-0909",
            "fax_number": "973-399-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUES",
        "first_name": "CARLA",
        "middle_name": "ELIZA",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00646200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Health Associates PA
• Mason W Diamond, D.D.S.
• Dignity Support Services
• Trent Iril Dillon
• Mona Iheasha Dixon, CPRS
• Maria C Domingues, O.D.
• Kathia Dorceus, RN
• Daniel F Dowd, PHARMD
• Sakeenah Dowell, IBCLC
• Dr Anna Moy DPM LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.