Organization Active NPI

Susskind & Almallah Eye Associates, PA

Doing business as Optical Gallery

  • Ophthalmology Physician
  • Toms River, NJ
National Provider Identifier
1548265895
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SUSSKIND & ALMALLAH EYE ASSOCIATES, PA
Doing business as
Optical Gallery
Practice address
20 Mule Rd
Toms River, NJ 08755-5028
Phone
(732) 349-5622
Fax
(732) 349-5625
NPI assigned
Jun 14, 2005
Last updated
Sep 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Authorized official

Name
Dr. Omar F Almallah, MDNPI 1376528364
Title
President
Phone
(732) 349-5622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

20 Mule Rd
Toms River, NJ 08755-5028

Mailing address

20 Mule Rd
Toms River, NJ 08755-5028
Phone (732) 349-5622

Other identifiers 1

IdentifierTypeStateIssuer
CA4524OtherNJRAILROAD MEDICARE

Other names 1

  • Optical Gallery Doing business as

National Provider Directory

National Provider Directory

Locations

70 Lacey Rd
Whiting, NJ 08759
Phone (732) 350-4500

Practitioners & affiliated clinicians

Practitioners 1

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": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599782400000",
    "number": "1548265895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MULE RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555028",
            "telephone_number": "732-349-5622",
            "fax_number": "732-349-5625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MULE RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555028",
            "telephone_number": "732-349-5622",
            "fax_number": "732-349-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSSKIND & ALMALLAH EYE ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "ALMALLAH",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-349-5622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA4524",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optical Gallery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Optical Gallery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.