Organization Active NPI

Gillian T. George, OD

  • Optometrist
  • Englewood, NJ
National Provider Identifier
1821232893
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00592600 Issued in NJ
Legal business name
GILLIAN T. GEORGE, OD
Practice address
200 Engle St
Suite 12
Englewood, NJ 07631-2440
Phone
(201) 569-2442
Fax
(201) 569-2552
NPI assigned
Apr 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Authorized official

Name
Dr. Gillian George
Title
Optometrist
Phone
(201) 569-2442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 27OA00592600 NJ Primary

Addresses

Primary practice location

200 Engle St
Suite 12
Englewood, NJ 07631-2440

Mailing address

200 Engle St
Suite 12
Englewood, NJ 07631-2440
Phone (201) 569-2442

Other names 1

  • Englewood Vision Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1821232893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ENGLE ST",
            "address_2": "SUITE 12",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312440",
            "telephone_number": "201-569-2442",
            "fax_number": "201-569-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ENGLE ST",
            "address_2": "SUITE 12",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312440",
            "telephone_number": "201-569-2442",
            "fax_number": "201-569-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILLIAN T. GEORGE, OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "GILLIAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "201-569-2442",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00592600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Englewood Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.