Individual provider Active NPI

Chizoba Heather Ogoke, OD

  • Vision Therapy Optometrist
  • Livingston, NJ
National Provider Identifier
1710650122
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
27OA00715300 Issued in NJ
Practice address
22 Old Short Hills Rd Ste LL-1
Livingston, NJ 07039-5604
Phone
(973) 422-1230
Fax
(973) 422-1236
NPI assigned
Jul 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Vision Therapy Optometrist 152WV0400X 27OA00715300 NJ Primary

Addresses

Primary practice location

22 Old Short Hills Rd Ste LL-1
Livingston, NJ 07039-5604

Mailing address

44 Charles St Apt 1
Bloomfield, NJ 07003-4740
Phone (862) 944-4994

Other practice location 1

33 W 42nd St
New York, NY 10036-8005
Phone (212) 938-4000

Other practice location 2

123 River Dr S
Jersey City, NJ 07310-2314
Phone (201) 222-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211215000665 NY Practitioner - Optometry 9032500632 Reassigns benefits to 1 organization
I20240104003953 NJ Practitioner - Optometry 9032500632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ehg NJ Service LLCGroup PAC ID 9335556315, 19 clinicians

Practice addresses (Care Compare)

275 Route 22
Springfield, NJ 07081-3554
Phone (973) 376-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00715300NJMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ehg NJ Service LLC CurrentSince Dec 18, 2023 Accepting new patients
State of New York Comptrollers Office CurrentSince Oct 1, 2021 Accepting new patients
State of New York Comptrollers Office Vision Therapy CurrentSince Oct 1, 2021 Accepting new patients
NBD Eyecare PastSince Jun 4, 2023 Accepting new patients
Meyerienzo Eyecare PA PastSince May 28, 2018 Accepting new patients
Pediatric Eye Associates PastSince Dec 18, 2022 Accepting new patients
Main Street Clinic, LLC Past Accepting new patients

Locations

326 State Route 18
East Brunswick, NJ 08816
Phone (732) 238-9200

255 Highway 35
Eatontown, NJ 07724
Phone (732) 389-6512

670 US Highway 1 N
Iselin, NJ 08830
Phone (732) 636-1400

179 US Highway 1
Metuchen, NJ 08840

341 E State Rt 4
Paramus, NJ 07652
Phone (201) 489-4500

275 US Highway 22
Springfield, NJ 07081
Phone (973) 376-7900

1278 Hooper Ave
Toms River, NJ 08753
Phone (732) 505-0533

360 US Highway 46
Totowa, NJ 07512
Phone (973) 785-0900

33 W 42nd St
Fl 10
New York, NY 10036
Phone (212) 780-4930

University Eye Ctr
New York, NY 10087

33 W 42nd St
New York, NY 10036
Phone (212) 780-4930

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1710650122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 CHARLES ST APT 1",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034740",
            "telephone_number": "862-944-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 OLD SHORT HILLS RD STE LL-1",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395604",
            "telephone_number": "973-422-1230",
            "fax_number": "973-422-1236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 W 42nd St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100368005",
            "country_code": "US",
            "telephone_number": "212-938-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 River Dr S",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073102314",
            "country_code": "US",
            "telephone_number": "201-222-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGOKE",
        "first_name": "CHIZOBA",
        "middle_name": "HEATHER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NJ",
            "license": "27OA00715300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.