Active NPI
Angrist Optical LLC
- Durable Medical Equipment & Medical Supplies
- Somerset, NJ
National Provider Identifier
1730217365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 25MA04389500
- Legal business name
- ANGRIST OPTICAL LLC
- Practice address
- 1527 State Route 27
Ste 2600
Somerset, NJ 08873-3979 - Phone
- (732) 246-1050
- NPI assigned
- Mar 2, 2007
- Organization subpart
- Yes
- Parent organization
- RICHARD C.ANGRIST, M.D.,P.A.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard C Angrist, MD
- Title
- President
- Phone
- (732) 246-1050
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 25MA04389500 | NJ | Primary |
| Eyewear Supplier | 332H00000X | 25MA04389500 | NJ |
Addresses
Primary practice location
1527 State Route 27
Ste 2600
Somerset, NJ 08873-3979
Mailing address
1527 State Route 27
Ste 2600
Somerset, NJ 08873-3979
Phone (732) 246-1050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 095500076 | Other | NJ | VISION SERVICE PLAN VSP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930040963 | NJ | DME Supplier - Physician - Ophthalmology | 9537280847 | Practice locations: Somerset, NJ |
National Provider Directory
National Provider Directory- Part of
- Richard C Angrist MD PA
Locations
1527 State Route 27
Ste 2600
Somerset, NJ 08873
Phone (732) 246-1050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223510400000",
"number": "1730217365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1527 STATE ROUTE 27",
"address_2": "STE 2600",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088733979",
"telephone_number": "732-246-1050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1527 STATE ROUTE 27",
"address_2": "STE 2600",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088733979",
"telephone_number": "732-246-1050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGRIST OPTICAL LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RICHARD C.ANGRIST, M.D.,P.A.",
"enumeration_date": "2007-03-02",
"last_updated": "2008-10-09",
"status": "A",
"authorized_official_last_name": "ANGRIST",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "732-246-1050",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NJ",
"license": "25MA04389500",
"primary": true
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "NJ",
"license": "25MA04389500",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISION SERVICE PLAN VSP",
"identifier": "095500076",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.