Organization Active NPI

Bogota Family Eye Care LLC

  • Optometrist
  • Bogota, NJ
National Provider Identifier
1619613312
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BOGOTA FAMILY EYE CARE LLC
Practice address
137 Queen Anne Rd
Bogota, NJ 07603-1623
Phone
(201) 488-7855
Fax
(201) 488-1636
NPI assigned
May 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Authorized official

Name
Dr. Diane A King, OD
Title
OD/President
Phone
(201) 488-7855

Specialties & licenses 1

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

Addresses

Primary practice location

137 Queen Anne Rd
Bogota, NJ 07603-1623

Mailing address

137 Queen Anne Rd
Bogota, NJ 07603-1623
Phone (201) 488-7855

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1651795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1619613312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 QUEEN ANNE RD",
            "city": "BOGOTA",
            "state": "NJ",
            "postal_code": "076031623",
            "telephone_number": "201-488-7855",
            "fax_number": "201-488-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 QUEEN ANNE RD",
            "city": "BOGOTA",
            "state": "NJ",
            "postal_code": "076031623",
            "telephone_number": "201-488-7855",
            "fax_number": "201-488-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOGOTA FAMILY EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OD/PRESIDENT",
        "authorized_official_telephone_number": "201-488-7855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bogota, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.