Organization Active NPI

Nutley Eye Care, LLC

  • Optometrist
  • Nutley, NJ
National Provider Identifier
1578891941
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA000592400 Issued in NJ
Legal business name
NUTLEY EYE CARE, LLC
Practice address
261 Franklin Ave
Nutley, NJ 07110-2767
Phone
(973) 542-8500
Fax
(973) 542-8502
NPI assigned
Nov 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Authorized official

Name
Dr. Joshua M. Goldschmidt, ODNPI 1629043658
Title
Optometric Physician
Phone
(973) 542-8500

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 27OA000592400 NJ Primary

Addresses

Primary practice location

261 Franklin Ave
Nutley, NJ 07110-2767

Mailing address

261 Franklin Ave
Nutley, NJ 07110-2767
Phone (973) 542-8500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100208000326 NJ Part B Supplier - Clinic/Group Practice 6800939299 Receives reassigned benefits from 1 practitioner
Practice locations: Nutley, NJ

National Provider Directory

National Provider Directory

Locations

261 Franklin Ave
Ste B
Nutley, NJ 07110

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": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1578891941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 FRANKLIN AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102767",
            "telephone_number": "973-542-8500",
            "fax_number": "973-542-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 FRANKLIN AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102767",
            "telephone_number": "973-542-8500",
            "fax_number": "973-542-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTLEY EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "GOLDSCHMIDT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OPTOMETRIC PHYSICIAN",
        "authorized_official_telephone_number": "973-542-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA000592400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nutley, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.