Organization Active NPI

Beyond VTC 2020 Professional Corporation

  • Optometrist
  • East Brunswick, NJ
National Provider Identifier
1679821086
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BEYOND VTC 2020 PROFESSIONAL CORPORATION
Doing business as
Beyond 20/20 Vision Training Center
Practice address
579 Cranbury Rd
Suite I
East Brunswick, NJ 08816-5405
Phone
(732) 307-7933
Fax
(732) 307-7934
NPI assigned
Aug 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Authorized official

Name
Dr. Kirti Patel, OD
Title
Optometrist
Phone
(732) 307-7933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

579 Cranbury Rd
Suite I
East Brunswick, NJ 08816-5405

Mailing address

579 Cranbury Rd
Suite I
East Brunswick, NJ 08816-5405
Phone (732) 307-7933

Other names 1

  • Beyond 20/20 Vision Training Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beyond 20 20 Vision Training Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

579 Cranbury Rd
Ste 1
East Brunswick, NJ 08816
Phone (732) 307-7933

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1679821086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 CRANBURY RD",
            "address_2": "SUITE I",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165405",
            "telephone_number": "732-307-7933",
            "fax_number": "732-307-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 CRANBURY RD",
            "address_2": "SUITE I",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165405",
            "telephone_number": "732-307-7933",
            "fax_number": "732-307-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND VTC 2020 PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KIRTI",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "732-307-7933",
        "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": [
        {
            "organization_name": "Beyond 20/20 Vision Training Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.