My Vision Care Corpation

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00516300 Issued in NJ

Legal business name

MY VISION CARE CORPATION

Practice address

1580 Lemoine Ave
Suite 5
Fort Lee, NJ 07024-5621

Phone

(201) 944-9266

Fax

(201) 944-6318

NPI assigned

May 12, 2008

Last updated

Apr 30, 2010By 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

Yongho Chung

Title

GM

Phone

(201) 944-9266

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Jisoo L Shin, O.D.

  • Optometrist
  • Scarsdale, NY
  • NPI 1962527846
  NPD (past)

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1689841470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 LEMOINE AVE",
            "address_2": "SUITE 5",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 LEMOINE AVE",
            "address_2": "SUITE 5",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245621",
            "telephone_number": "201-944-9266",
            "fax_number": "201-944-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY VISION CARE CORPATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "YONGHO",
        "authorized_official_title_or_position": "GM",
        "authorized_official_telephone_number": "201-944-9266"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00516300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8326908",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Mossaiov
• Heba Moustafa
• Ms Footstop Inc.
• Christopher Mueller, D.P.T.
• Sukjong Mun
• Mystic Acupuncture LLC
• Kazuko Nagafuchi-McTiernan
• Hetal Naik, BCBA
• Andrew Donguk Nam, M.D.
• Lori Nasif, DMD

• Optometrist in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; 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.