Organization Active NPI

Angrist Optical LLC

  • Durable Medical Equipment & Medical Supplies
  • Somerset, NJ
National Provider Identifier
1730217365
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
25MA04389500 Issued in NJ
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
095500076OtherNJVISION SERVICE PLAN VSP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

Verify at the official NPI Registry.