Organization Active NPI

Mila Optometry, Inc

  • Optometrist
  • Nutley, NJ
National Provider Identifier
1609149707
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00620600 Issued in NJ
Legal business name
MILA OPTOMETRY, INC
Practice address
303 Franklin Ave
Nutley, NJ 07110-2735
Phone
(973) 661-1015
NPI assigned
Feb 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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

Authorized official

Name
Mila Kamenev, O.D.
Title
President
Phone
(201) 779-3582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 27OA00620600 NJ Primary

Addresses

Primary practice location

303 Franklin Ave
Nutley, NJ 07110-2735

Mailing address

115 Crown CT
Livingston, NJ 07039-8253
Phone (201) 779-3582

National Provider Directory

National Provider Directory

Locations

303 Franklin Ave
Nutley, NJ 07110
Phone (973) 661-1015

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": "1329696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329696000000",
    "number": "1609149707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CROWN CT",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070398253",
            "telephone_number": "201-779-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 FRANKLIN AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102735",
            "telephone_number": "973-661-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILA OPTOMETRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-20",
        "last_updated": "2012-02-20",
        "status": "A",
        "authorized_official_last_name": "KAMENEV",
        "authorized_official_first_name": "MILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-779-3582",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00620600",
            "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 Feb 20, 2012; 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.