Estella Mira, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00507200 Issued in NJ

Practice address

443 State Route 34 Ste F
Marketplace Mall
Matawan, NJ 07747-9506

Phone

(732) 583-3600

Fax

(732) 583-3770

NPI assigned

Jan 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optometric Physicians of Middletown PA

  dba Eyes First Vision Center

  • Optometrist
  • Middletown, NJ
  • NPI 1457354037
  Medicare reassignment NPD
• Optometric Physicians of Middletown PA

  dba Clarkson Eyecare

  • Optometrist
  • Toms River, NJ
  • NPI 1801474960
  NPD

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659424026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 STATE ROUTE 34 STE F",
            "address_2": "MARKETPLACE MALL",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077479506",
            "telephone_number": "732-583-3600",
            "fax_number": "732-583-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 STATE ROUTE 34 STE F",
            "address_2": "MARKETPLACE MALL",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077479506",
            "telephone_number": "732-583-3600",
            "fax_number": "732-583-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRA",
        "first_name": "ESTELLA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00507200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Milrud
• Jonathan Min, DDS
• Mindful Therapy of Monmouth County LLC
• Nina M Mineo-Pankiewitz, PTA
• Dolores M Mingione, MSW, LCSW
• Danielle Francesca Mondello, FNP-BC
• Monmouth Acupuncture
• Monmouth Psychological Associates
• Olivia Moore
• Joseph Chua Morales, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.