Organization Active NPI

Optical Connection Inc

  • Eyewear Supplier
  • Toms River, NJ
National Provider Identifier
1659423952
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
OPTICAL CONNECTION INC
Practice address
601 RT 37 West
Toms River, NJ 08755-8050
Phone
(732) 244-6633
Fax
(732) 244-0073
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Authorized official

Name
Mary Gailis
Title
Office Adminstrator
Phone
(732) 244-4400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

601 RT 37 West
Toms River, NJ 08755-8050

Mailing address

601 RT 37 West
Toms River, NJ 08755-8050
Phone (732) 244-6633

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930052687 NJ DME Supplier - Optician 7416077359 Practice locations: Toms River, NJ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Southern Ocean Optical3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1659423952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 RT 37 WEST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558050",
            "telephone_number": "732-244-6633",
            "fax_number": "732-244-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 RT 37 WEST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558050",
            "telephone_number": "732-244-6633",
            "fax_number": "732-244-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL CONNECTION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "GAILIS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OFFICE ADMINSTRATOR",
        "authorized_official_telephone_number": "732-244-4400"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.