Organization Active NPI

Highland Park Vision Center P.a.

  • Optometrist
  • Bayonne, NJ
National Provider Identifier
1639221930
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00473400 Issued in NJ
Legal business name
HIGHLAND PARK VISION CENTER P.A.
Practice address
590 Broadway
Bayonne, NJ 07002-3826
Phone
(201) 523-3998
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jay Zand, O.D.
Title
Optometrist
Phone
(732) 565-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 27OA00473400 NJ Primary

Addresses

Primary practice location

590 Broadway
Bayonne, NJ 07002-3826

Mailing address

PO Box 4466
Highland Park, NJ 08904-4466
Phone (732) 565-2020

Other identifiers 1

IdentifierTypeStateIssuer
OAO4734OtherNJSTATE LICENCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070124000070 NJ Part B Supplier - Clinic/Group Practice 1951302660 Practice locations: Bayonne, NJ

National Provider Directory

National Provider Directory

Locations

590 Broadway
#1
Bayonne, NJ 07002
Phone (201) 823-3998

590 Broadway
Bayonne, NJ 07002
Phone (201) 523-3998

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639221930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4466",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089044466",
            "telephone_number": "732-565-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023826",
            "telephone_number": "201-523-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND PARK VISION CENTER P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZAND",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "732-565-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00473400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "OAO4734",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

  • 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.
  • 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.