Om Eyecare, Inc.

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

27OA00601300 Issued in NJ

Legal business name

OM EYECARE, INC.

Practice address

1290 US Highway 22 E
North Plainfield, NJ 07060-3518

Phone

(908) 546-5681

Fax

(908) 546-5682

NPI assigned

Nov 14, 2013

Organization subpart

No

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

Authorized official

Name

Mili Shukla, ODNPI 1861401291

Title

OD/President

Phone

(908) 546-5681

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mili Shukla, O.D.

  • Optometrist
  • North Plainfield, NJ
  • NPI 1861401291
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1649600453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 LENOX AVE # 103",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070905120",
            "telephone_number": "908-315-7907",
            "fax_number": "908-546-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 US HIGHWAY 22 E",
            "city": "NORTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070603518",
            "telephone_number": "908-546-5681",
            "fax_number": "908-546-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OM EYECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "SHUKLA",
        "authorized_official_first_name": "MILI",
        "authorized_official_title_or_position": "OD/PRESIDENT",
        "authorized_official_telephone_number": "908-546-5681",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NJ",
            "license": "27OA00601300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119032",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mathina Ngobide, LPN
• Luz M Nieto, DMD
• North Plainfield Board of Education
• North Plainfield Board of Education
• Omobola A Oji, M.D.
• Omni Care Rehabilitation
• Eva J Palma, LCSW
• Aja Palmer
• Hemandri Amish Patel, RPH
• Pathmark Stores Inc

• Exclusive Provider Organization in North Plainfield, NJ
• Providers in North Plainfield, NJ by specialty
• Exclusive Provider Organization in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.