Active NPI
Sergio R. Ferreira, L.D.O.
- Optician
- Jersey City, NJ
National Provider Identifier
1497817134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 31TD00327300
- Practice address
- 368 Central Ave
Eye Contact Vision Center
Jersey City, NJ 07307-2828 - Phone
- (201) 659-2774
- Fax
- (201) 653-7319
- NPI assigned
- Dec 15, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 31TD00327300 | NJ | Primary |
Addresses
Primary practice location
368 Central Ave
Eye Contact Vision Center
Jersey City, NJ 07307-2828
Mailing address
368 Central Ave
Eye Contact Vision Center
Jersey City, NJ 07307-2828
Phone (201) 659-2774
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0030155 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31TD00327300 | NJ | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413504000000",
"number": "1497817134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "368 CENTRAL AVE",
"address_2": "EYE CONTACT VISION CENTER",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073072828",
"telephone_number": "201-659-2774",
"fax_number": "201-653-7319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "368 CENTRAL AVE",
"address_2": "EYE CONTACT VISION CENTER",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073072828",
"telephone_number": "201-659-2774",
"fax_number": "201-653-7319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERREIRA",
"first_name": "SERGIO",
"middle_name": "R.",
"name_prefix": "Mr.",
"credential": "L.D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2014-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NJ",
"license": "31TD00327300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0030155",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.