Revital Eyes NJ Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

REVITAL EYES NJ INC

Practice address

1515 RT 22 West
Watchung, NJ 07069

Phone

(347) 937-0500

Fax

(347) 937-0500

NPI assigned

Mar 18, 2018

Organization subpart

No

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

Authorized official

Name

Mohammad Karim

Title

President

Phone

(347) 937-0500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1521331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1669976494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 BELMAR STREET",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "08873",
            "telephone_number": "347-937-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 RT 22 WEST",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "07069",
            "telephone_number": "347-937-0500",
            "fax_number": "347-937-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVITAL EYES NJ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-18",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "KARIM",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-937-0500"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramapo Valley Anesthesia Associates, LLC
• Kumaraswamy Kammardi Ramaswamy, MD
• Kris Reece, REV, PH.D.
• Xiao-Ou Ren, O. D.
• Luis A Rentas
• Gerri Ricciardi, DMD
• Janine Teresa Riedinger, PT
• Rik Anesthesia Associates, LLC.
• Eric Robinson, O.D.
• Ronald Howard Sheppard D

• Optometrist in Watchung, NJ
• Providers in Watchung, 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 10, 2018; 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.