Michelle Victoria Charles-Nieves, ABO-AC, NCLEC

Primary specialty

OpticianTaxonomy code 156FX1800X

License

31TD00418500 Issued in NJ

Practice address

13 Senator LN
Burlington, NJ 08016-1151

Phone

(609) 850-9701

NPI assigned

Jun 21, 2024

Last updated

Jun 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1760226997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 SENATOR LN",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080161151",
            "telephone_number": "609-850-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 SENATOR LN",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080161151",
            "telephone_number": "609-850-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES-NIEVES",
        "first_name": "MICHELLE",
        "middle_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "ABO-AC, NCLEC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NJ",
            "license": "31TD00418500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optician in Burlington, NJ
• Providers in Burlington, NJ by specialty
• Optician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.