Organization Active NPI

Total Vision Care of East Hanover, LLC

  • Optometrist
  • East Hanover, NJ
National Provider Identifier
1679342000
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TOTAL VISION CARE OF EAST HANOVER, LLC
Practice address
Total Vision Care of East Hanover
389 State Route 10
East Hanover, NJ 07936
Phone
(973) 781-0800
NPI assigned
Dec 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Authorized official

Name
Dr. Nimrah Malik, ODNPI 1245662444
Title
Optometrist/President
Phone
(848) 219-5239

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

Total Vision Care of East Hanover
389 State Route 10
East Hanover, NJ 07936

Mailing address

5 Arlyne Dr
Somerville, NJ 08876-1442
Phone (848) 219-5239

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240311001518 NJ Part B Supplier - Clinic/Group Practice 3476999673 Receives reassigned benefits from 1 practitioner
Practice locations: East Hanover, NJ

National Provider Directory

National Provider Directory

Locations

389 State Route 10
Ste 1
East Hanover, NJ 07936
Phone (973) 781-0800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1679342000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ARLYNE DR",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088761442",
            "telephone_number": "848-219-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TOTAL VISION CARE OF EAST HANOVER",
            "address_2": "389 STATE ROUTE 10",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "07936",
            "telephone_number": "973-781-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL VISION CARE OF EAST HANOVER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "NIMRAH",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "848-219-5239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hanover, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.