Organization Active NPI

Dover Eye Care Center PC

  • Optometrist
  • Dover, NJ
National Provider Identifier
1740400340
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00505701 Issued in NJ
Legal business name
DOVER EYE CARE CENTER PC
Practice address
369 W Blackwell St
Dover, NJ 07801-2560
Phone
(973) 366-0008
Fax
(973) 366-1333
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Dr. Joselyn L Estevez, O.D.
Title
Doctor - Owner
Phone
(973) 366-0008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 27OA00505701 NJ Primary

Addresses

Primary practice location

369 W Blackwell St
Dover, NJ 07801-2560

Mailing address

369 W Blackwell St
Dover, NJ 07801-2560
Phone (973) 366-0008

Other identifiers 1

IdentifierTypeStateIssuer
0077577MedicaidNJ

National Provider Directory

National Provider Directory

Locations

369 W Blackwell St
Ste 1
Dover, NJ 07801
Phone (973) 366-0008

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1740400340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 W BLACKWELL ST",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078012560",
            "telephone_number": "973-366-0008",
            "fax_number": "973-366-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 W BLACKWELL ST",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078012560",
            "telephone_number": "973-366-0008",
            "fax_number": "973-366-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVER EYE CARE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "ESTEVEZ",
        "authorized_official_first_name": "JOSELYN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR - OWNER",
        "authorized_official_telephone_number": "973-366-0008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00505701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0077577",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.