Active NPI
MD Optical & Vitamins, LLC.
- Ophthalmic Technician/Technologist
- Edison, NJ
National Provider Identifier
1487987244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Technician/Technologist
- License
- 25MA02048600
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmic Technician/Technologist | 156FX1100X | 25MA02048600 | NJ | Primary |
| Optician | 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 DirectoryNPI 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.