Organization Active NPI

171 Market Street of NJ Inc

Doing business as Eye Encounter 3

  • Optician
  • Newark, NJ
National Provider Identifier
1730219569
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
171 MARKET STREET OF NJ INC
Doing business as
Eye Encounter 3
Practice address
787 Broad St
Newark, NJ 07102-3717
Phone
(973) 643-3343
Fax
(973) 643-3369
NPI assigned
Mar 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Peter Brown
Title
Owner
Phone
(212) 594-0751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X Primary

Addresses

Primary practice location

787 Broad St
Newark, NJ 07102-3717

Mailing address

787 Broad St
Newark, NJ 07102-3717
Phone (973) 643-3343

Other identifiers 1

IdentifierTypeStateIssuer
9045104MedicaidNJ

Other names 1

  • Eye Encounter 3 Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730219569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 BROAD ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071023717",
            "telephone_number": "973-643-3343",
            "fax_number": "973-643-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 BROAD ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071023717",
            "telephone_number": "973-643-3343",
            "fax_number": "973-643-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "171 MARKET STREET OF NJ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-594-0751",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9045104",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Encounter 3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.