Optika Eyecare, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00520400 Issued in NJ

Legal business name

OPTIKA EYECARE, INC.

Practice address

25 Kinnelon Rd
Kinnelon, NJ 07405-2337

Phone

(973) 838-8190

Fax

(973) 838-3230

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Niki Patellis, O.D.NPI 1083818785

Title

Owner

Phone

(973) 838-8190

Specialties & licenses 1

Addresses

Other identifiers 9

Other names 1

• Kinnelon Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Niki Patellis, O.D.

  • Optometrist
  • Kinnelon, NJ
  • NPI 1083818785
  Medicare reassignment Care Compare group NPD Authorized official
• Barbara Lenore Koslow, O.D.

  • Optometrist
  • Kinnelon, NJ
  • NPI 1811190085
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1609934207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 KINNELON RD",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052337",
            "telephone_number": "973-838-8190",
            "fax_number": "973-838-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 KINNELON RD",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052337",
            "telephone_number": "973-838-8190",
            "fax_number": "973-838-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIKA EYECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "PATELLIS",
        "authorized_official_first_name": "NIKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-838-8190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00520400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE DESIGN ADMINIST",
            "identifier": "150665995",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "150665995",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "OK9793",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCHOICE OF NJ",
            "identifier": "150665995",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "P2391973",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH",
            "identifier": "P2391973",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA U.S. HEALTHCARE",
            "identifier": "3571408",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC9724",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME MAC JURISDICTION A",
            "identifier": "0672440001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kinnelon Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Jersey Family Home Care, LLC
• North Jersey Home Care LLC
• Northern Anesthesia, P.a.
• Lauren Anne O'Connell, PT, DPT
• Anna L Olsen, LPC
• Lynne B Orr, NJ-LPC
• Rosanne Parente, RNFA
• Jenna Park, NCC LPC LPAT ATR-BC
• Shane Park, MS, RD
• Setu J Patel, PHARM.D.

• Optometrist in Kinnelon, NJ
• Providers in Kinnelon, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.