Organization Active NPI

The Optical Illusion

  • Eyewear Supplier
  • Westwood, NJ
National Provider Identifier
1700073012
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
D3239 Issued in NJ
Legal business name
THE OPTICAL ILLUSION
Practice address
190 Westwood Ave
Westwood, NJ 07675-1741
Phone
(201) 666-8705
NPI assigned
Oct 1, 2007
Last updated
Oct 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Authorized official

Name
Mrs. Carol Redden
Title
Owner
Phone
(201) 666-8705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X D3239 NJ Primary

Addresses

Primary practice location

190 Westwood Ave
Westwood, NJ 07675-1741

Mailing address

190 Westwood Ave
Westwood, NJ 07675-1741
Phone (201) 666-8705

National Provider Directory

National Provider Directory

Locations

190 Westwood Ave
Westwood, NJ 07675
Phone (201) 666-8705

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1700073012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 WESTWOOD AVE",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076751741",
            "telephone_number": "201-666-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 WESTWOOD AVE",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076751741",
            "telephone_number": "201-666-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OPTICAL ILLUSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "REDDEN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-666-8705",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NJ",
            "license": "D3239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.