Montenare Eye Care & Vision Therapy LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00641300 Issued in NJ

Legal business name

MONTENARE EYE CARE & VISION THERAPY LLC

Practice address

541 Cedar Hill Ave Ste H
Wyckoff, NJ 07481-2150

Phone

(631) 455-7123

NPI assigned

Jan 3, 2018

Organization subpart

No

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

Authorized official

Name

Michael MontenareNPI 1609124296

Title

Owner

Phone

(201) 857-5111

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Thomas Montenare, O.D.

  • Optometrist
  • Wyckoff, NJ
  • NPI 1609124296
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1477060267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 CEDAR HILL AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812150",
            "telephone_number": "201-857-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 CEDAR HILL AVE STE H",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812150",
            "telephone_number": "631-455-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTENARE EYE CARE & VISION THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-03",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "MONTENARE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-857-5111"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00641300",
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "NJ",
            "license": "27OA00641300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minds Wide Open Psychotherapy, LLC
• Mlt360 Meals, Lifestyle, Nutrition Therapy, LLC
• Mobile Dental Practice, PC
• Mondana Yazdi PA
• Bart Mongiello, LCSW
• Michael Thomas Montenare, O.D.
• Lisa C Monti, R.D., M.S.
• Edward Morr, M.D.
• Alicen L Mosaad, MA, LPC, ACS
• Moving Forward Counseling Services LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.