Active NPI
Kyle N Hrymack, OD
- Optometrist
- Fair Lawn, NJ
National Provider Identifier
1750646915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00639100
- Practice address
- 4-14 Saddle River Rd
Fair Lawn, NJ 07410-5632 - Phone
- (201) 797-2747
- Fax
- (201) 797-5809
- NPI assigned
- Jul 12, 2012
- Last updated
- Dec 4, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00639100 | NJ | Primary |
Addresses
Primary practice location
4-14 Saddle River Rd
Fair Lawn, NJ 07410-5632
Mailing address
319 Madison CT
Brick, NJ 08724-1628
Phone (732) 598-5763
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 25.83 of 100
- Quality
- 31.67
- Improvement activities
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27OA00639100 | NJ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resident Eye Care Associates, LLC | Optometrist | Current | Accepting new patients |
| Home Vision Group LLC | Optometrist | Current | Accepting new patients |
Locations
4-14 Saddle River Rd
Fair Lawn, NJ 07410
Phone (201) 791-4002
4-14 Saddle River Rd
Ste 202
Fair Lawn, NJ 07410
Phone (718) 980-7700
2125 Fairview Ave
Easton, PA 18042
Phone (610) 258-2801
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Fair Lawn, NJ
- NPI 1609067230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386115200000",
"number": "1750646915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 MADISON CT",
"city": "BRICK",
"state": "NJ",
"postal_code": "087241628",
"telephone_number": "732-598-5763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4-14 SADDLE RIVER RD",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074105632",
"telephone_number": "201-797-2747",
"fax_number": "201-797-5809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HRYMACK",
"first_name": "KYLE",
"middle_name": "N",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-12",
"last_updated": "2013-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00639100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fair Lawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.