Active NPI
Vairona Mikhail, O.D.
- Optometrist
- East Brunswick, NJ
National Provider Identifier
1801975347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00585600
- Practice address
- 561 Cranbury Rd
Suite E
East Brunswick, NJ 08816-5400 - Phone
- (732) 721-6641
- NPI assigned
- Nov 3, 2006
- Sex
- Female
- 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 | 27OA00585600 | NJ | Primary |
Addresses
Primary practice location
561 Cranbury Rd
Suite E
East Brunswick, NJ 08816-5400
Mailing address
561 Cranbury Rd
Suite E
East Brunswick, NJ 08816-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0026760 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313452800000",
"number": "1801975347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "561 CRANBURY RD",
"address_2": "SUITE E",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088165400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "561 CRANBURY RD",
"address_2": "SUITE E",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088165400",
"telephone_number": "732-721-6641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKHAIL",
"first_name": "VAIRONA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2011-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00585600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0026760",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.