Eyes for America, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4306 Issued in NJ

Legal business name

EYES FOR AMERICA, INC.

Practice address

158 Market St
Paterson, NJ 07505-1702

Phone

(973) 684-1545

Fax

(973) 345-6120

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Van P Vinciguerra, O.D.

Title

Optometrist

Phone

(973) 684-1545

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• STAR OPTICAL Doing business as

Locations

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1609976836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 MARKET ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051702",
            "telephone_number": "973-684-1545",
            "fax_number": "973-345-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 MARKET ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051702",
            "telephone_number": "973-684-1545",
            "fax_number": "973-345-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES FOR AMERICA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "VINCIGUERRA",
        "authorized_official_first_name": "VAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "973-684-1545",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "4306",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "5207",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5257905",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0380601",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3279201",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAR OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Fairlawnbrightstar

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.