Organization Active NPI

Classic Eyewear Inc.

  • Ophthalmology Physician
  • Linwood, NJ
National Provider Identifier
1518041268
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MA42134 Issued in NJ
Legal business name
CLASSIC EYEWEAR INC.
Practice address
2021 New Rd
Suite 6
Linwood, NJ 08221-1045
Phone
(609) 927-4424
Fax
(609) 927-3897
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Authorized official

Name
Dr. Stephen Uretsky, M.D.NPI 1235188798
Title
Owner
Phone
(609) 927-4424

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X MA42134 NJ Primary

Addresses

Primary practice location

2021 New Rd
Suite 6
Linwood, NJ 08221-1045

Mailing address

2021 New Rd
Suite 6
Linwood, NJ 08221-1045
Phone (609) 927-4424

Other identifiers 1

IdentifierTypeStateIssuer
P00175889OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1518041268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 NEW RD",
            "address_2": "SUITE 6",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211045",
            "telephone_number": "609-927-4424",
            "fax_number": "609-927-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 NEW RD",
            "address_2": "SUITE 6",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211045",
            "telephone_number": "609-927-4424",
            "fax_number": "609-927-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSIC EYEWEAR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "URETSKY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-927-4424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MA42134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00175889",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.