NJ Vision Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00662002 Issued in NJ

Legal business name

NJ VISION CARE LLC

Practice address

1151 Liberty Ave
#B
Hillside, NJ 07205-2143

Phone

(908) 351-0420

NPI assigned

Oct 20, 2016

Last updated

Oct 20, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gustie M Christopher, ODNPI 1790161602

Title

Ceo

Phone

(305) 879-9881

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Gustie Christopher, O.D

  • Optometrist
  • East Havover, NJ
  • NPI 1790161602
  NPD (past) Authorized official

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1689125080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LAWRENCE ST APT PH32",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 LIBERTY AVE",
            "address_2": "#B",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072052143",
            "telephone_number": "908-351-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ VISION CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "CHRISTOPHER",
        "authorized_official_first_name": "GUSTIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-879-9881",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00662002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.