Advanced Eye Professionals LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

270M00031600 Issued in NJ

Legal business name

ADVANCED EYE PROFESSIONALS LLC

Practice address

225 Gordons Corner Rd
Suite 1C
Manalapan, NJ 07726-3356

Phone

(732) 792-9800

NPI assigned

Jun 30, 2008

Last updated

Nov 14, 2012By 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

Sergio PeneirasNPI 1558328245

Title

President

Phone

(732) 792-9800

Specialties & licenses 1

Addresses

Other names 1

• Brighton Eye Care Other name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Tax ID family

Advance Eye Professionals2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Advanced Eye Professionals

  dba Brighton Eye Care

  • Optometrist
  • Manalapan, NJ
  • NPI 1700180544
  NPD tax ID

Locations

Practitioners 2

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.

• Sergio Peneiras, O.D.

  • Optometrist
  • Manalapan, NJ
  • NPI 1558328245
  Medicare reassignment Care Compare group NPD Authorized official
• Erica O'Lenick, OD

  • Optometrist
  • Manalapan, NJ
  • NPI 1033525530
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352851200000",
    "number": "1497917520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 GORDONS CORNER RD",
            "address_2": "SUITE 1C",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263356",
            "telephone_number": "732-792-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 GORDONS CORNER RD",
            "address_2": "SUITE 1C",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263356",
            "telephone_number": "732-792-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED EYE PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2012-11-14",
        "status": "A",
        "authorized_official_last_name": "PENEIRAS",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-792-9800"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270M00031600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brighton Eye Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; 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.