Organization Active NPI

James Tracey Optical, Inc.

Doing business as H. Rubin Opticians

  • Optometrist
  • Midland Park, NJ
National Provider Identifier
1770024507
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00544500 Issued in NJ
Legal business name
JAMES TRACEY OPTICAL, INC.
Doing business as
H. Rubin Opticians
James Tracey Eye Care
Practice address
240 Godwin Ave
Midland Park, NJ 07432-1838
Phone
(201) 447-3121
Fax
(201) 447-9503
NPI assigned
Mar 13, 2017
Last updated
Aug 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Authorized official

Name
Ms. Christine Fulmer
Title
Medical Billing Specialist
Phone
(201) 447-3121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00544500 NJ Primary

Addresses

Primary practice location

240 Godwin Ave
Midland Park, NJ 07432-1838

Mailing address

240 Godwin Ave
Midland Park, NJ 07432-1838
Phone (201) 447-3121

Other names 2

  • H. Rubin Opticians Doing business as
  • James Tracey Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180326001647 NJ Part B Supplier - Clinic/Group Practice 0547522807 Receives reassigned benefits from 3 practitioners
Practice locations: Midland Park, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1770024507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 GODWIN AVE",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321838",
            "telephone_number": "201-447-3121",
            "fax_number": "201-447-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 GODWIN AVE",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321838",
            "telephone_number": "201-447-3121",
            "fax_number": "201-447-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES TRACEY OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "FULMER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "MEDICAL BILLING SPECIALIST",
        "authorized_official_telephone_number": "201-447-3121",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00544500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "H. Rubin Opticians",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "H. Rubin Opticians",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "James Tracey Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midland Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.