Organization Active NPI

MD Optical & Vitamins, LLC.

  • Ophthalmic Technician/Technologist
  • Edison, NJ
National Provider Identifier
1487987244
Registry record updated Sep 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X
License
25MA02048600 Issued in NJ
Legal business name
MD OPTICAL & VITAMINS, LLC.
Practice address
1115 Inman Ave
Suite 365.,
Edison, NJ 08820-1132
Phone
(732) 604-4487
Fax
(732) 543-2603
NPI assigned
Sep 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2009

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

Authorized official

Name
Rishipaul Singh
Title
Ceo
Phone
(732) 604-4487

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Technician/TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 156FX1100X 25MA02048600 NJ Primary
OpticianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 156FX1800X 31TD00351400 NJ

Addresses

Primary practice location

1115 Inman Ave
Suite 365.,
Edison, NJ 08820-1132

Mailing address

1115 Inman Ave
Suite 365.,
Edison, NJ 08820-1132
Phone (732) 604-4487

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252627200000",
    "number": "1487987244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 INMAN AVE",
            "address_2": "SUITE 365.,",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201132",
            "telephone_number": "732-604-4487",
            "fax_number": "732-543-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 INMAN AVE",
            "address_2": "SUITE 365.,",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201132",
            "telephone_number": "732-604-4487",
            "fax_number": "732-543-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD OPTICAL & VITAMINS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-11",
        "last_updated": "2009-09-11",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "RISHIPAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-604-4487"
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": "NJ",
            "license": "25MA02048600",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NJ",
            "license": "31TD00351400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; 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.