Halim Optical, Ta Pearle Vision

Primary specialty

OpticianTaxonomy code 156FX1800X

License

31TD00175700 Issued in NJ

Legal business name

HALIM OPTICAL, TA PEARLE VISION

Practice address

802 Delsea Dr N
Glassboro, NJ 08028-1438

Phone

(856) 582-5550

NPI assigned

Apr 13, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Samira S Halim

Title

Optician

Phone

(856) 582-5550

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619192093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 DELSEA DR N",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 DELSEA DR N",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281438",
            "telephone_number": "856-582-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALIM OPTICAL, TA PEARLE VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALIM",
        "authorized_official_first_name": "SAMIRA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "856-582-5550",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NJ",
            "license": "31TD00175700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICHOICE",
            "identifier": "PE 234258",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "NJ 1757",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Damien Jermaine Grooms
• Katina Grovatt-Powell
• Colleen A Grugan, ATC
• Guardian Programs Adult Medical Day Care
• Kristian A Hairston
• Arshia Hallajzadeh, PHARMD
• Justin Hanus, PT, DPT, CSCS
• Amanda Harrison
• Jessica Haurin
• Korinne Elizabeth Havers

• Optician in Glassboro, NJ
• Providers in Glassboro, NJ by specialty
• Optician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.