Nutley Vision LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

NUTLEY VISION LLC

Practice address

214 N Franklin Avenue
Nutley, NJ 07110

Phone

(973) 542-0205

NPI assigned

Sep 6, 2019

Last updated

Sep 6, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elena Vitenzon, MDNPI 1043311962

Title

Owner

Phone

(973) 542-0205

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elena Vitenzon, O.D.

  • Optometrist
  • Nutley, NJ
  • NPI 1043311962
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1497304984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 N FRANKLIN AVENUE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "07110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N FRANKLIN AVENUE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "07110",
            "telephone_number": "973-542-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTLEY VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "VITENZON",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-542-0205",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nutley Orthopaedic Group, PA
• Nutley Park Shop Rite Inc
• Nutley Public Schools
• Nutley Vascular Clinic
• Nutley Vision
• Nutley Volunteer Emergency Rescue Squad (Nutley Emergency & Rescue Squad)
• Ny NM Chiropractic Wellness PC
• Odek Medical Care & Consulting Services
• Raphael Oluseun Odekunle, MD
• Bruce Ollins, D.M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.