NPIMap

Organization Active NPI

Advanced Eye Care Center, PA

  • Specialist
  • Wayne, NJ
National Provider Identifier
1801969340
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ADVANCED EYE CARE CENTER, PA
Practice address
220 Hamburg Tpke
Suite 7
Wayne, NJ 07470-2110
Phone
(973) 790-1300
Fax
(973) 790-5310
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

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

Authorized official

Name
Dr. Charles Scot Reing, M.D.NPI 1629165337
Title
Owner
Phone
(973) 790-1300

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

220 Hamburg Tpke
Suite 7
Wayne, NJ 07470-2110

Mailing address

220 Hamburg Tpke
Suite 7
Wayne, NJ 07470-2110
Phone (973) 790-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050329001074 NJ Part B Supplier - Clinic/Group Practice 5890741102 Receives reassigned benefits from 12 practitioners
Practice locations: Wayne, NJ
O20100930065902 NJ DME Supplier - Physician - OphthalmologyDME Supplier - Optician 5890741102 Practice locations: Wayne, NJ

National Provider Directory

National Provider Directory
Tax ID family
Advanced Eye Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • Direct secure messaging: creing@advancedeyenj.intellechartdirect.net
  • Direct secure messaging: nchoo@advancedeyenj.intellechartdirect.net
  • Direct secure messaging: fyazdanie@advancedeyenj.intellechartdirect.net
  • Direct secure messaging: hjaveed@advancedeyenj.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1801969340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 HAMBURG TPKE",
            "address_2": "SUITE 7",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702110",
            "telephone_number": "973-790-1300",
            "fax_number": "973-790-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 HAMBURG TPKE",
            "address_2": "SUITE 7",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702110",
            "telephone_number": "973-790-1300",
            "fax_number": "973-790-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED EYE CARE CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "REING",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "SCOT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-790-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "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 Jun 26, 2014; 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.