Organization Active NPI

Edison Eyecare & Vision Center

  • Optometrist
  • Edison, NJ
National Provider Identifier
1710038294
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00605000 Issued in NJ
Legal business name
EDISON EYECARE & VISION CENTER
Practice address
1945 State Route 27
Suite #2
Edison, NJ 08817-3263
Phone
(732) 543-0706
NPI assigned
Jan 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Authorized official

Name
Dr. Esther Ha, ODNPI 1124109046
Title
Optometric Physician
Phone
(732) 494-4146

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 27OA00605000 NJ Primary

Addresses

Primary practice location

1945 State Route 27
Suite #2
Edison, NJ 08817-3263

Mailing address

1945 Route 27 Ste 2
Edison, NJ 08817-3263
Phone (732) 543-0706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070608000152 NJ Part B Supplier - Clinic/Group Practice 4789782178 Receives reassigned benefits from 1 practitioner
Practice locations: Edison, NJ

National Provider Directory

National Provider Directory

Locations

1945 State Route 27
Ste 2
Edison, NJ 08817
Phone (732) 543-0706

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1710038294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 ROUTE 27 STE 2",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173263",
            "telephone_number": "732-543-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 STATE ROUTE 27",
            "address_2": "SUITE #2",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173263",
            "telephone_number": "732-543-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDISON EYECARE & VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-13",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "HA",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_title_or_position": "OPTOMETRIC PHYSICIAN",
        "authorized_official_telephone_number": "732-494-4146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00605000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.