Active NPI
Front Street Eyecare
- Optometrist
- Secaucus, NJ
National Provider Identifier
1821681941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- FRONT STREET EYECARE
- Practice address
- 149 Front St
Secaucus, NJ 07094-3463 - Phone
- (917) 548-5083
- NPI assigned
- Feb 19, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Maty Youngewirth, OD
- Title
- Optometrist
- Phone
- (917) 548-5083
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
149 Front St
Secaucus, NJ 07094-3463
Mailing address
6 Briarcliffe Rd
Bergenfield, NJ 07621-4021
Phone (917) 548-5083
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614556800000",
"number": "1821681941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 BRIARCLIFFE RD",
"city": "BERGENFIELD",
"state": "NJ",
"postal_code": "076214021",
"telephone_number": "917-548-5083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 FRONT ST",
"city": "SECAUCUS",
"state": "NJ",
"postal_code": "070943463",
"telephone_number": "917-548-5083"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRONT STREET EYECARE",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-19",
"last_updated": "2021-03-01",
"certification_date": "2021-03-01",
"status": "A",
"authorized_official_last_name": "YOUNGEWIRTH",
"authorized_official_first_name": "MATY",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "917-548-5083",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Secaucus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.