Organization Active NPI

I to Eye Inc

  • Optometrist
  • Westfield, NJ
National Provider Identifier
1740326826
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5245 Issued in NJ
Legal business name
I TO EYE INC
Practice address
214 East Broad St
Westfield, NJ 07090
Phone
(908) 389-0390
Fax
(908) 389-0394
NPI assigned
Jan 29, 2007
Last updated
Dec 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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

Authorized official

Name
Dr. Madeline Fernandez, ODNPI 1639215718
Title
President
Phone
(908) 389-0390

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 5245 NJ Primary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 00516 NJ

Addresses

Primary practice location

214 East Broad St
Westfield, NJ 07090

Mailing address

214 East Broad St
Westfield, NJ 07090
Phone (908) 389-0390

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121217000053 NJ Part B Supplier - Clinic/Group Practice 5991957177 Receives reassigned benefits from 2 practitioners
Practice locations: Westfield, NJ

National Provider Directory

National Provider Directory

Locations

253 E Broad St
Westfield, NJ 07090
Phone (908) 389-0390

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387497600000",
    "number": "1740326826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 EAST BROAD ST",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "07090",
            "telephone_number": "908-389-0390",
            "fax_number": "908-389-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 EAST BROAD ST",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "07090",
            "telephone_number": "908-389-0390",
            "fax_number": "908-389-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I TO EYE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2013-12-20",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "MADELINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-389-0390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "5245",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "00516",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; 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.