Integrative Vision Corp

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

INTEGRATIVE VISION CORP

Practice address

655 Shrewsbury Ave Ste 201a
Shrewsbury, NJ 07702-4151

Phone

(732) 389-2792

Fax

(732) 455-9583

NPI assigned

Jan 22, 2019

Organization subpart

No

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

Authorized official

Name

Neda Gioia, OD

Title

Owner

Phone

(732) 389-2792

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1639633803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 WINDSOR DR",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391311",
            "telephone_number": "732-221-9741",
            "fax_number": "732-455-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 SHREWSBURY AVE STE 201A",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024151",
            "telephone_number": "732-389-2792",
            "fax_number": "732-455-9583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE VISION CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-22",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "GIOIA",
        "authorized_official_first_name": "NEDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-389-2792",
        "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": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.