Active NPI
I-Care Optometry of NJ PC
- Optometrist
- Montvale, NJ
National Provider Identifier
1508520842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- I-CARE OPTOMETRY OF NJ PC
- Practice address
- 64 Nottingham CT
Montvale, NJ 07645-2106 - Phone
- (267) 635-7089
- Fax
- (315) 612-9793
- NPI assigned
- Oct 22, 2021
- 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
- Carolina Henriquez
- Title
- Director of Operations
- Phone
- (267) 635-7089
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
64 Nottingham CT
Montvale, NJ 07645-2106
Mailing address
20980 Cipres Way
Boca Raton, FL 33433-1604
Phone (267) 635-7089
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Valley Cottage, NY
- NPI 1952859969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711324800000",
"number": "1508520842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20980 CIPRES WAY",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334331604",
"telephone_number": "267-635-7089",
"fax_number": "315-612-9793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 NOTTINGHAM CT",
"city": "MONTVALE",
"state": "NJ",
"postal_code": "076452106",
"telephone_number": "267-635-7089",
"fax_number": "315-612-9793"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "I-CARE OPTOMETRY OF NJ PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-22",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A",
"authorized_official_last_name": "HENRIQUEZ",
"authorized_official_first_name": "CAROLINA",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "267-635-7089"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montvale, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.