Creative Vision Corp.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

D-1802 Issued in NJ

Legal business name

CREATIVE VISION CORP.

Doing business as

becker opticians

Practice address

1068 Clinton Ave
Irvington, NJ 07111

Phone

(973) 399-0909

Fax

(973) 399-8366

NPI assigned

May 14, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wilhelm Eisenstein

Title

Pres. Optician

Phone

(973) 399-0909

Specialties & licenses 1

Addresses

Other names 1

• becker opticians Doing business as

Tax ID family

Becker Opticians2 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.

• Creative Vision Corporation

  dba Becker Opticians

  • Optometrist
  • Irvington, NJ
  • NPI 1407070873
  NPD tax ID

Locations

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821204462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 CLINTON AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "07111",
            "telephone_number": "973-399-0909",
            "fax_number": "973-399-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 CLINTON AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "07111",
            "telephone_number": "973-399-0909",
            "fax_number": "973-399-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE VISION CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EISENSTEIN",
        "authorized_official_first_name": "WILHELM",
        "authorized_official_title_or_position": "PRES.  OPTICIAN",
        "authorized_official_telephone_number": "973-399-0909"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "D-1802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "becker opticians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamillah Copeland
• Georgianna Cornelius
• Shakyrrah Covington
• Michelle S. Coyle, MSW
• Craig H. Wilson DDS, PA
• Creative Vision Corporation (Becker Opticians)
• Crosslinks Care LLC (Crosslinks Home Health & Staffing)
• Crosslinks Care LLC (Crosslinks Home Health)
• Crosslinks Group Home LLC
• CTW & Associates (The Koi Academy)

• Durable Medical Equipment & Medical Supplies in Irvington, NJ
• Providers in Irvington, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.