Organization Active NPI

Ohi of Puerto Rico, LLC

  • Optometrist
  • Springfield, NJ
National Provider Identifier
1700263696
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OHI OF PUERTO RICO, LLC
Practice address
275 Route 22
Springfield, NJ 07081-3554
Phone
(702) 580-7404
NPI assigned
Apr 30, 2015
Last updated
Aug 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Authorized official

Name
Steve Girisgen, OD
Title
Ceo
Phone
(702) 580-7404

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

275 Route 22
Springfield, NJ 07081-3554

Mailing address

275 Route 22
Springfield, NJ 07081-3554

National Provider Directory

National Provider Directory
Tax ID family
Ohi of Puerto Rico LLC17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1700263696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 ROUTE 22",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 ROUTE 22",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813554",
            "telephone_number": "702-580-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHI OF PUERTO RICO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "GIRISGEN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-580-7404",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; 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.