Organization Active NPI

Irvington Eye Care Limited Liability Company

  • Optometrist
  • Irvington, NJ
National Provider Identifier
1578864682
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00601302 Issued in NJ
Legal business name
IRVINGTON EYE CARE LIMITED LIABILITY COMPANY
Practice address
1053 Springfield Ave
Irvington, NJ 07111-2408
Phone
(973) 416-6664
Fax
(973) 416-6649
NPI assigned
Nov 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Parag RaithathaNPI 1790709384
Title
Member
Phone
(973) 416-6664

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 27OA00601302 NJ Primary

Addresses

Primary practice location

1053 Springfield Ave
Irvington, NJ 07111-2408

Mailing address

1053 Springfield Ave
Irvington, NJ 07111-2408
Phone (973) 416-6664

Other identifiers 2

IdentifierTypeStateIssuer
0257591MedicaidNJ
0119032MedicaidNJ

National Provider Directory

National Provider Directory

Locations

1053 Springfield Ave
Irvington, NJ 07111
Phone (973) 416-6664

Practitioners & affiliated clinicians

Practitioners 1

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": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1578864682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 SPRINGFIELD AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071112408",
            "telephone_number": "973-416-6664",
            "fax_number": "973-416-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 SPRINGFIELD AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071112408",
            "telephone_number": "973-416-6664",
            "fax_number": "973-416-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVINGTON EYE CARE LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "RAITHATHA",
        "authorized_official_first_name": "PARAG",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "973-416-6664"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00601302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0257591",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119032",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.