Optical Outlet LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

OPTICAL OUTLET LLC

Practice address

977 Main St
Paterson, NJ 07503-2329

Phone

(973) 684-8400

Fax

(973) 684-8401

NPI assigned

Jun 3, 2008

Last updated

Nov 12, 2019By 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

Mr. Abby Ayoub

Title

Manager

Phone

(973) 684-8400

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ramy Seyam, OD

  • Optometrist
  • Wayne, NJ
  • NPI 1760586275
  NPD (past)
• Gillian George, OD

  • Optometrist
  • Bronx, NY
  • NPI 1114039302
  NPD (past)

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1851550016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "977 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032329",
            "telephone_number": "973-684-8400",
            "fax_number": "973-684-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "977 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032329",
            "telephone_number": "973-684-8400",
            "fax_number": "973-684-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL OUTLET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "AYOUB",
        "authorized_official_first_name": "ABBY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-684-8400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• One of US Dreamerz LLC
• Ijeoma Christiana Onyeagocha
• Goodness Ebere Onyeukwu, MD
• Opti Eye Care LLC
• Opti-Design LLC
• Optical Palace of Paterson
• Optimal Lab Inc
• Optimum Care Medical Transport
• Options Counseling Inc. (Options Counseling Center)
• Options Counseling, Inc (Options Counseling Center)

• Optometrist in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.