Organization Active NPI

Pompton Eye and Vision Care, L.L.C.

  • Optometrist
  • Montville, NJ
National Provider Identifier
1538387485
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00539800 Issued in NJ
Legal business name
POMPTON EYE AND VISION CARE, L.L.C.
Practice address
170 Changebridge Rd BLDG B5
Montville, NJ 07045-9114
Phone
(973) 835-7000
Fax
(973) 835-7079
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
Dr. William John Ference, O.D.NPI 1316165368
Title
President
Phone
(973) 835-7000

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 27OA00539800 NJ Primary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X 27OA00539800 NJ
Pediatric OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WP0200X 27OA00539800 NJ
Sports Vision OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WS0006X 27OA00539800 NJ
Vision Therapy OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WV0400X 27OA00539800 NJ

Addresses

Primary practice location

170 Changebridge Rd BLDG B5
Montville, NJ 07045-9114

Mailing address

170 Changebridge Rd BLDG B5
Montville, NJ 07045-9114
Phone (973) 835-7000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101014000091 NJ Part B Supplier - Clinic/Group Practice 4688866205 Receives reassigned benefits from 2 practitioners
Practice locations: Montville, NJ

National Provider Directory

National Provider Directory

Locations

170 Changebridge Rd
Montville, NJ 07045
Phone (973) 575-5540

170 Changebridge Rd
Bldg B5
Montville, NJ 07045
Phone (973) 604-0180

496 Newark Pompton Tpke
Pompton Plns, NJ 07444
Phone (973) 835-7000

Practitioners & affiliated clinicians

Practitioners 2

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": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1538387485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 CHANGEBRIDGE RD BLDG B5",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459114",
            "telephone_number": "973-835-7000",
            "fax_number": "973-835-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 CHANGEBRIDGE RD BLDG B5",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459114",
            "telephone_number": "973-835-7000",
            "fax_number": "973-835-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMPTON EYE AND VISION CARE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "FERENCE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-835-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00539800",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NJ",
            "license": "27OA00539800",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "NJ",
            "license": "27OA00539800",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": "NJ",
            "license": "27OA00539800",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "NJ",
            "license": "27OA00539800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.