Eye Associates of Wayne, P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

EYE ASSOCIATES OF WAYNE, P.A.

Practice address

968 Hamburg Tpke
Wayne, NJ 07470-3225

Phone

(973) 696-0300

Fax

(973) 696-0465

NPI assigned

Oct 23, 2006

Last updated

Jun 15, 2017By 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

Ken E Mishler, MDNPI 1043279979

Title

President

Phone

(973) 696-0300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 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.

• Ken Edward Mishler, MD

  • Ophthalmology Physician
  • Wayne, NJ
  • NPI 1043279979
  Authorized official Same address or phone

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497484800000",
    "number": "1699858670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703225",
            "telephone_number": "973-696-0300",
            "fax_number": "973-696-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703225",
            "telephone_number": "973-696-0300",
            "fax_number": "973-696-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ASSOCIATES OF WAYNE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2017-06-15",
        "status": "A",
        "authorized_official_last_name": "MISHLER",
        "authorized_official_first_name": "KEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-696-0300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2621207",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Everest Ucc Wayne LLC (Brookside Urgent Care Center)
• Everyday Nutrition, LLC
• Excellent Homecare of NJ LLC
• Exclusive Oral Surgery
• Eye Associates of Wayne
• Eyeluxe Eyecare LLC
• Nader Fahimi, MD
• Caesar Ralph Falen
• Family Eyecare Consultants, P.a.
• Family Pediatrics. LLC

• Ophthalmology Physician in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; 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.