Passaic Vision Center

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

PASSAIC VISION CENTER

Practice address

403 Clifton Ave
Clifton, NJ 07011-2642

Phone

(973) 473-5151

Fax

(973) 473-3331

NPI assigned

Jun 17, 2016

Organization subpart

Yes

Parent organization

PASSAICVISIONCENTERAs reported in NPPES

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

Authorized official

Name

Isabel Mejia

Title

Manager

Phone

(973) 473-5151

Specialties & licenses 1

Addresses

Other names 1

• Clifton Eye Specialists Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Passaic Vision Center ,LLC.

  • Eyewear Supplier
  • Passaic, NJ
  • NPI 1194912154

  O20041101000462

  Same enrollment

Part of

Passaic Vision Center

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luis A Mendoza, MD

  • Ophthalmology Physician
  • Passaic, NJ
  • NPI 1225011950
  NPD
• David Eric Freilich, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Englewood, NJ
  • NPI 1295783611

  Ophthalmology

  NPD (past)
• Daniel Stegman

  • Ophthalmology Physician
  • Clifton, NJ
  • NPI 1740251040
  NPD (past)
• Taryn V Tapia, O.D.

  • Optometrist
  • Edgewater, NJ
  • NPI 1497772420
  NPD (past)

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1770933012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112642",
            "telephone_number": "973-473-5151",
            "fax_number": "973-473-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112642",
            "telephone_number": "973-473-5151",
            "fax_number": "973-473-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSAIC VISION CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PASSAICVISIONCENTER",
        "enumeration_date": "2016-06-17",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "MEJIA",
        "authorized_official_first_name": "ISABEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-473-5151"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clifton Eye Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harsheen Kaur Pasricha, OT
• Passaic County Elks Adult Training Center
• Passaic County Elks Cerebral Palsy Center
• Passaic County Orthopaedic Associates LLC
• Passaic Medical Care Inc
• Pat David Biondi Ma-Ccca
• Anjali D Patel, D.O.
• Arun Patel, RPH
• Ashish Patel, PA-C
• Bharav Patel

• Ophthalmology Physician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.