Organization Active NPI

Your Eyes and You LLC

  • Optometrist
  • Middlesex, NJ
National Provider Identifier
1679180855
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
YOUR EYES AND YOU LLC
Practice address
1326 Bound Brook Rd
Middlesex, NJ 08846-1401
Phone
(732) 356-0300
NPI assigned
Sep 30, 2020
Last updated
Apr 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Dr. Amanda Alhout Gredzik, ODNPI 1699393777
Title
Co-Owner
Phone
(973) 943-1248

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

1326 Bound Brook Rd
Middlesex, NJ 08846-1401

Mailing address

174 Sand Rd
Fairfield, NJ 07004-1574
Phone (973) 943-1248

Other practice location 1

386 Totowa Rd Ste B
Totowa, NJ 07512-2059
Phone (862) 257-3274

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201110002917 NJ Part B Supplier - Clinic/Group Practice 4688084254 Receives reassigned benefits from 2 practitioners
Practice locations: Middlesex, NJ

National Provider Directory

National Provider Directory

Locations

1326 Bound Brook Rd
Middlesex, NJ 08846
Phone (732) 356-0300

386 Totowa Rd
Ste B
Totowa, NJ 07512
Phone (862) 257-3274

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1679180855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 SAND RD",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070041574",
            "telephone_number": "973-943-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 BOUND BROOK RD",
            "city": "MIDDLESEX",
            "state": "NJ",
            "postal_code": "088461401",
            "telephone_number": "732-356-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "386 Totowa Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Totowa",
            "state": "NJ",
            "postal_code": "075122059",
            "country_code": "US",
            "telephone_number": "862-257-3274",
            "fax_number": "862-257-3274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YOUR EYES AND YOU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "GREDZIK",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "ALHOUT",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "973-943-1248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlesex, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.