Active NPI
Modern Vue Eyecare
- Clinic/Center
- Wayne, NJ
National Provider Identifier
1750002069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- MODERN VUE EYECARE
- Practice address
- 1508 Willowbrook Mall
Wayne, NJ 07470 - Phone
- (973) 256-0060
- NPI assigned
- Sep 6, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mariam Aslami, OD
- Title
- Optometrist
- Phone
- (706) 631-7168
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
1508 Willowbrook Mall
Wayne, NJ 07470
Mailing address
23 Hopper LN
Wayne, NJ 07470-4656
Phone (706) 631-7168
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Wayne, NJ
- NPI 1205289790
-
- Corneal and Contact Management Optometrist
- Wayne, NJ
- NPI 1740344217
-
- Optometrist
- Oakland, NJ
- NPI 1558641399
-
- Optometrist
- Pompton Plains, NJ
- NPI 1528192382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671580800000",
"number": "1750002069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 HOPPER LN",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074704656",
"telephone_number": "706-631-7168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1508 WILLOWBROOK MALL",
"city": "WAYNE",
"state": "NJ",
"postal_code": "07470",
"telephone_number": "973-256-0060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MODERN VUE EYECARE",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-06",
"last_updated": "2022-12-21",
"certification_date": "2022-12-20",
"status": "A",
"authorized_official_last_name": "ASLAMI",
"authorized_official_first_name": "MARIAM",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "706-631-7168",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.