Spectrum Optometric Services

Primary specialty

OptometristTaxonomy code 152W00000X

License

270A00564700 Issued in NJ

Legal business name

SPECTRUM OPTOMETRIC SERVICES

Practice address

1760 Easton Ave
Somerset, NJ 08873-1366

Phone

(732) 356-0110

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Lisa Bennett, O.D.

Title

Owner

Phone

(732) 356-0110

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659406031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 EAGLE ROCK AVE # 391",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 EASTON AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731366",
            "telephone_number": "732-356-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM OPTOMETRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-356-0110",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00564700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Somerset, NJ
• Providers in Somerset, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.