Organization Active NPI

Abady, Steiner and Ravine Eye Care O D P C

  • Optometrist
  • Oakhurst, NJ
National Provider Identifier
1649213406
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ABADY, STEINER AND RAVINE EYE CARE O D P C
Practice address
780 W Park Ave
Oakhurst, NJ 07755-1014
Phone
(732) 531-6300
Fax
(732) 531-9149
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Authorized official

Name
Dr. Charles L Abady, ODNPI 1205817517
Title
President
Phone
(732) 531-6300

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X NJ Primary

Addresses

Primary practice location

780 W Park Ave
Oakhurst, NJ 07755-1014

Mailing address

780 W Park Ave
Oakhurst, NJ 07755-1014
Phone (732) 531-6300

Other identifiers 1

IdentifierTypeStateIssuer
1649213406OtherNJRAILROAD MEDICARE

Other names 1

  • EYEGROUP Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100326000140 NJ Part B Supplier - Clinic/Group Practice 6305972662 Receives reassigned benefits from 5 practitioners
Practice locations: Oakhurst, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1649213406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 W PARK AVE",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077551014",
            "telephone_number": "732-531-6300",
            "fax_number": "732-531-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 W PARK AVE",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077551014",
            "telephone_number": "732-531-6300",
            "fax_number": "732-531-9149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABADY, STEINER AND RAVINE EYE CARE O D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "ABADY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-531-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "1649213406",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYEGROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakhurst, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.