Active NPI
The Optical Illusion
- Eyewear Supplier
- Westwood, NJ
National Provider Identifier
1700073012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- D3239
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.