Organization Active NPI

DRS. Pritz & Gray Eyecare

  • Optometrist
  • Pleasantville, NJ
National Provider Identifier
1508924085
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NJ 03852 Issued in NJ
Legal business name
DRS. PRITZ & GRAY EYECARE
Practice address
921 Black Horse Pike
Pleasantville, NJ 08232-4129
Phone
(609) 641-4722
Fax
(609) 641-6148
NPI assigned
Dec 5, 2006
Last updated
Jan 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Authorized official

Name
Mrs. Laurie C Weingarten
Title
Business Manager
Phone
(609) 641-4722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X NJ 03852 NJ Primary

Addresses

Primary practice location

921 Black Horse Pike
Pleasantville, NJ 08232-4129

Mailing address

921 Black Horse Pike
Pleasantville, NJ 08232-4129
Phone (609) 641-4722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050317000241 NJ Part B Supplier - Clinic/Group Practice 6305891862 Receives reassigned benefits from 4 practitioners
Practice locations: Marmora, NJ; Pleasantville, NJ

National Provider Directory

National Provider Directory

Locations

921 Black Horse Pike
Pleasantville, NJ 08232
Phone (609) 442-1192

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1508924085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 BLACK HORSE PIKE",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082324129",
            "telephone_number": "609-641-4722",
            "fax_number": "609-641-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 BLACK HORSE PIKE",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082324129",
            "telephone_number": "609-641-4722",
            "fax_number": "609-641-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. PRITZ & GRAY EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "WEINGARTEN",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "609-641-4722",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "NJ 03852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasantville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.