NPIMap

Organization Active NPI

RJ Vision

Doing business as Mr. Optics

  • Optometrist
  • Succasunna, NJ
National Provider Identifier
1578622270
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00550300 Issued in NJ
Legal business name
RJ VISION
Doing business as
Mr. Optics
Practice address
275 Route 10 East
Suite 242
Succasunna, NJ 07876
Phone
(973) 252-1777
Fax
(973) 252-9543
NPI assigned
Dec 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kyung Kim, O.D.NPI 1942368741
Title
Owner
Phone
(973) 252-1777

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
Optometrist 152W00000X 27OA00550300 NJ Primary

Addresses

Primary practice location

275 Route 10 East
Suite 242
Succasunna, NJ 07876

Mailing address

275 Route 10 East
Suite 242
Succasunna, NJ 07876
Phone (973) 252-1777

Other identifiers 1

IdentifierTypeStateIssuer
7452004MedicaidNJ

Other names 1

  • Mr. Optics Doing business as

National Provider Directory

National Provider Directory

Locations

275 Route 10 E
Ste 242
Succasunna, NJ 07876
Phone (973) 252-1777

Practitioners & affiliated clinicians

Practitioners 2

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": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578622270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 ROUTE 10 EAST",
            "address_2": "SUITE 242",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "07876",
            "telephone_number": "973-252-1777",
            "fax_number": "973-252-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 ROUTE 10 EAST",
            "address_2": "SUITE 242",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "07876",
            "telephone_number": "973-252-1777",
            "fax_number": "973-252-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RJ VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KYUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-252-1777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00550300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7452004",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mr. Optics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Succasunna, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.