Individual provider Active NPI

Noel S Caragian, O.D.

  • Optometrist
  • Wayne, NJ
National Provider Identifier
1639250277
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00465800 Issued in NJ
Practice address
1450 Willowbrook Mall
Wayne, NJ 07470-6905
Phone
(973) 785-3525
Fax
(973) 785-4322
NPI assigned
Oct 18, 2006
Last updated
Apr 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00465800 NJ Primary

Addresses

Primary practice location

1450 Willowbrook Mall
Wayne, NJ 07470-6905

Mailing address

1450 Willowbrook Mall
Wayne, NJ 07470-6905
Phone (973) 785-3525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091117000084 NJ Practitioner - Optometry 7416095229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1450 Willowbrook Mall
Wayne, NJ 07470-6905
Phone (973) 785-3525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00465800NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Noel S. Caragian, O.D.,P.a. Optometrist CurrentSince Aug 23, 2009 Accepting new patients
Willow & Vision LLC Optometrist CurrentSince Jan 4, 2026 Accepting new patients

Locations

1450 Willowbrook Mall
Wayne, NJ 07470
Phone (973) 785-3525

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1639250277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 WILLOWBROOK MALL",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706905",
            "telephone_number": "973-785-3525",
            "fax_number": "973-785-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 WILLOWBROOK MALL",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706905",
            "telephone_number": "973-785-3525",
            "fax_number": "973-785-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARAGIAN",
        "first_name": "NOEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00465800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.