Active NPI
Gor Shigol, O.D.
- Optometrist
- Woodbridge, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00661900
- Practice address
- 873 Saint Georges Ave
Woodbridge, NJ 07095 - Phone
- (732) 750-3900
- Fax
- (732) 750-4869
- NPI assigned
- Jul 17, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV008308 | NY | |
| Optometrist | 152W00000X | 27OA00661900 | NJ | Primary |
Addresses
Primary practice location
873 Saint Georges Ave
Woodbridge, NJ 07095
Mailing address
210 Woodland Rd
New Milford, NJ 07646-2308
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV008308 | NY | MD | Optometrist |
| 008308 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles M. Cummins, OD., PA | Optometrist | Current | Accepting new patients |
| Charles M. Cummins, OD, PA | Optometrist | Current | Accepting new patients |
| Charles M Cummins, OD, PA | Optometrist | Current | Accepting new patients |
| Charles M Cummins OD PA | Optometrist | Past | Accepting new patients |
Locations
1255 Broad St
Bloomfield, NJ 07003
Phone (973) 338-7575
588 Route 70
Ste 9
Brick, NJ 08723
Phone (732) 864-0755
1255 Raritan Rd
Unit 740
Clark, NJ 07066
Phone (732) 388-4035
550 Old Post Rd
Edison, NJ 08817
Phone (732) 287-6600
120 Route 22
Springfield, NJ 07081
Phone (973) 379-5063
255 US Highway 46
Totowa, NJ 07512
Phone (973) 785-8000
873 Saint George Ave
Woodbridge, NJ 07095
Phone (732) 750-3900
Organizations & group practices 4
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.
-
dba Visionworks Doctors of Optometry
- Eyewear Supplier
- Turnersville, NJ
- NPI 1114703956
Optometrist
-
dba Visionworks Doctors of Optometry
- Eyewear Supplier
- Woodbridge, NJ
- NPI 1548342900
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1487038576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 WOODLAND RD",
"city": "NEW MILFORD",
"state": "NJ",
"postal_code": "076462308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "873 SAINT GEORGES AVE",
"city": "WOODBRIDGE",
"state": "NJ",
"postal_code": "07095",
"telephone_number": "732-750-3900",
"fax_number": "732-750-4869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIGOL",
"first_name": "GOR",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-17",
"last_updated": "2022-08-02",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV008308",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00661900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.