NPIMap

Organization Active NPI

Optical Elegance

  • Optician
  • East Orange, NJ
National Provider Identifier
1568665255
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
D-3287 Issued in NJ
Legal business name
OPTICAL ELEGANCE
Practice address
560 Dr MLK Plaza
7
East Orange, NJ 07018
Phone
(973) 672-4000
Fax
(973) 672-4040
NPI assigned
Jun 8, 2007
Last updated
May 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Mrs. Utenzi N Miller-JohnsonNPI 1275859977
Title
Optician
Phone
(973) 672-4000

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
Optician 156FX1800X D-3287 NJ Primary

Addresses

Primary practice location

560 Dr MLK Plaza
7
East Orange, NJ 07018

Mailing address

560 Dr MLK Plaza
East Orange, NJ 07018

National Provider Directory

National Provider Directory

Locations

560 Martin Luther King
Ste 7
East Orange, NJ 07018
Phone (973) 672-4000

Practitioners & affiliated clinicians

Practitioners 5

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": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1568665255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 DR MLK PLAZA",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "07018",
            "fax_number": "973-672-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 DR MLK PLAZA",
            "address_2": "7",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "07018",
            "telephone_number": "973-672-4000",
            "fax_number": "973-672-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL ELEGANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "MILLER-JOHNSON",
        "authorized_official_first_name": "UTENZI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "973-672-4000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NJ",
            "license": "D-3287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.