NPIMap

Organization Active NPI

Optic One, Inc.

  • Optometrist
  • Cinnaminson, NJ
National Provider Identifier
1699954610
Registry record updated Jan 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00470000 Issued in NJ
Legal business name
OPTIC ONE, INC.
Practice address
2401 Route 130 S
Cinnaminson, NJ 08077-3020
Phone
(856) 786-1616
Fax
(856) 786-3565
NPI assigned
Oct 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2009

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

Authorized official

Name
Dr. Joseph James Reda Jr., O.D.
Title
Owner/President
Phone
(856) 786-1616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 27OA00470000 NJ Primary

Addresses

Primary practice location

2401 Route 130 S
Cinnaminson, NJ 08077-3020

Mailing address

2401 Route 130 S
Cinnaminson, NJ 08077-3020
Phone (856) 786-1616

Other identifiers 1

IdentifierTypeStateIssuer
1699954610OtherNPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1699954610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 ROUTE 130 S",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080773020",
            "telephone_number": "856-786-1616",
            "fax_number": "856-786-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 ROUTE 130 S",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080773020",
            "telephone_number": "856-786-1616",
            "fax_number": "856-786-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIC ONE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "REDA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "856-786-1616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00470000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1699954610",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cinnaminson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; 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.