NPIMap

Organization Active NPI

Eyekrafters Medical Optics,P.C.

  • Optometrist
  • South Plainfield, NJ
National Provider Identifier
1578614947
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OA05164 Issued in NJ
Legal business name
EYEKRAFTERS MEDICAL OPTICS,P.C.
Practice address
911 Oak Tree Ave Ste C
South Plainfield, NJ 07080-5130
Phone
(908) 822-1100
Fax
(908) 822-1102
NPI assigned
Jan 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Authorized official

Name
Dr. Lior Koppel, O.D.NPI 1356492789
Title
President
Phone
(908) 822-1100

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OA05164 NJ Primary
Eyewear Supplier 332H00000X 0A05164 NJ

Addresses

Primary practice location

911 Oak Tree Ave Ste C
South Plainfield, NJ 07080-5130

Mailing address

911 Oak Tree Ave Ste C
South Plainfield, NJ 07080-5130
Phone (908) 822-1100

Other identifiers 1

IdentifierTypeStateIssuer
6330100MedicaidNJ

Other names 1

  • EYEKRAFTERS OPTICAL Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110511000766 NJ Part B Supplier - Clinic/Group Practice 7113103904 Receives reassigned benefits from 4 practitioners
Practice locations: South Plainfield, NJ

National Provider Directory

National Provider Directory

Locations

911 Oak Tree Ave
South Plainfield, NJ 07080
Phone (908) 822-1100

911 Oak Tree Ave
Ste C
South Plainfield, NJ 07080
Phone (908) 222-8228

911 Oak Tree Ave
Ste A1
South Plainfield, NJ 07080
Phone (908) 222-1100

Interoperability endpoints

  • Direct secure messaging: drk@eyekraftersmedical.eyefinity-direct.com
  • Direct secure messaging: vpatel@eyekraftersmedical.eyefinity-direct.com
  • Direct secure messaging: brosenberg@eyekraftersmedical.eyefinity-direct.com

Practitioners & affiliated clinicians

Practitioners 5

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": "1168732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1578614947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 OAK TREE AVE STE C",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805130",
            "telephone_number": "908-822-1100",
            "fax_number": "908-822-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 OAK TREE AVE STE C",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805130",
            "telephone_number": "908-822-1100",
            "fax_number": "908-822-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEKRAFTERS MEDICAL OPTICS,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-14",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "KOPPEL",
        "authorized_official_first_name": "LIOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-822-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA05164",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NJ",
            "license": "0A05164",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6330100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYEKRAFTERS OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.