NPIMap

Organization Active NPI

US Visionmed Partners Optometry of New Jersey LLC

  • Ophthalmology Physician
  • South Plainfield, NJ
National Provider Identifier
1649006198
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
US VISIONMED PARTNERS OPTOMETRY OF NEW JERSEY LLC
Practice address
911 Oak Tree Ave Ste A1
South Plainfield, NJ 07080-5130
Phone
(908) 822-1100
NPI assigned
Sep 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Lior Koppel, MDNPI 1356492789
Title
Owner
Phone
(908) 822-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

911 Oak Tree Ave Ste A1
South Plainfield, NJ 07080-5130

Mailing address

911 Oak Tree Ave Ste A1
South Plainfield, NJ 07080-5130
Phone (908) 822-1100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241121000009 NJ Part B Supplier - Clinic/Group Practice 4981139409 Receives reassigned benefits from 5 practitioners
Practice locations: South Plainfield, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1726012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1649006198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 OAK TREE AVE STE A1",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805130",
            "telephone_number": "908-822-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 OAK TREE AVE STE A1",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805130",
            "telephone_number": "908-822-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US VISIONMED PARTNERS OPTOMETRY OF NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "KOPPEL",
        "authorized_official_first_name": "LIOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-822-1100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.