Active NPI
Old Bridge Vision Inc
- Optometrist
- Parlin, NJ
National Provider Identifier
1508160201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- OLD BRIDGE VISION INC
- Practice address
- 1040 US Highway 9
Parlin, NJ 08859-1401 - Phone
- (732) 727-1811
- Fax
- (732) 727-6399
- NPI assigned
- Jan 10, 2011
- 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
- Dr. Robert J Greenberg
- Title
- President
- Phone
- (732) 727-1811
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
1040 US Highway 9
Parlin, NJ 08859-1401
Mailing address
1040 US Highway 9
Parlin, NJ 08859-1401
Phone (732) 727-1811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110315000230 | NJ | Part B Supplier - Clinic/Group Practice | 0446432355 |
Receives reassigned benefits from 1 practitioner Practice locations: Parlin, NJ |
National Provider Directory
National Provider DirectoryLocations
1040 US Highway 9
Parlin, NJ 08859
Phone (732) 727-1811
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1372118400000",
"number": "1508160201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 US HIGHWAY 9",
"city": "PARLIN",
"state": "NJ",
"postal_code": "088591401",
"telephone_number": "732-727-1811",
"fax_number": "732-727-6399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 US HIGHWAY 9",
"city": "PARLIN",
"state": "NJ",
"postal_code": "088591401",
"telephone_number": "732-727-1811",
"fax_number": "732-727-6399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLD BRIDGE VISION INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-10",
"last_updated": "2013-06-25",
"status": "A",
"authorized_official_last_name": "GREENBERG",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "732-727-1811",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parlin, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.