Edison Ophthalmology Associates L.L.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA07540000 Issued in NJ

Legal business name

EDISON OPHTHALMOLOGY ASSOCIATES L.L.C.

Practice address

2177 Oak Tree Rd
#203
Edison, NJ 08820-1082

Phone

(908) 822-0070

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

John C Park, MDNPI 1255372827

Title

President

Phone

(908) 822-0070

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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

• John C Park, MD

  • Ophthalmology Physician
  • Edison, NJ
  • NPI 1255372827
  Medicare reassignment Care Compare group NPD Authorized official
• Roopinder Grewal, M.D.

  • Ophthalmology Physician
  • Somerset, NJ
  • NPI 1740327527
  Medicare reassignment Care Compare group NPD
• Francesca Kim Lee, O.D.

  • Optometrist
  • Edison, NJ
  • NPI 1568726586
  Medicare reassignment Care Compare group NPD
• Lorin Robert Press, M.D.

  • Ophthalmology Physician
  • Edison, NJ
  • NPI 1720082159
  Medicare reassignment Care Compare group NPD
• Barbara H Schwartz, M.D.

  • Ophthalmology Physician
  • Edison, NJ
  • NPI 1063417723
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1851339840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 OAK TREE RD",
            "address_2": "#203",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2177 OAK TREE RD",
            "address_2": "#203",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201082",
            "telephone_number": "908-822-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDISON OPHTHALMOLOGY ASSOCIATES L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-822-0070",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA07540000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO ID",
            "identifier": "2334336000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edison Medical Imaging
• Edison Medical Nutrition Center
• Edison Metuchen Orthopaedic Group PA
• Edison Nephrorlogy Consultants
• Edison Neurologic Associates
• Edison Optical Corporation
• Edison Optomeric
• Edison Orthopaedic Institute PA
• Edison Pain & Rehab Center LLC
• Edison Pediatrics Associates ,PA

• Ophthalmology Physician in Edison, NJ
• Providers in Edison, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.