Organization Active NPI

Opticalviewllc

  • Preferred Provider Organization
  • North Brunswick, NJ
National Provider Identifier
1861601692
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
3443 Issued in NJ
Legal business name
OPTICALVIEWLLC
Practice address
400 Raneissance Blvd.
None
North Brunswick, NJ 08902
Phone
(732) 297-2020
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Polina Grizont, OPTITION
Title
President
Phone
(732) 297-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 3443 NJ Primary

Addresses

Primary practice location

400 Raneissance Blvd.
None
North Brunswick, NJ 08902

Mailing address

400 Raneissance Blvd.
North Brunswick, NJ 08902
Phone (732) 297-2020

Other identifiers 4

IdentifierTypeStateIssuer
17102OtherNJSPECTERA
7869002MedicaidNJ
NJ 3443OtherNJEYEMED
43971OtherNJDAVIS VISION

National Provider Directory

National Provider Directory

Locations

400 Renaissance Blvd
North Brunswick, NJ 08902
Phone (732) 297-2020

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861601692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RANEISSANCE BLVD.",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "08902",
            "telephone_number": "732-297-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 RANEISSANCE BLVD.",
            "address_2": "NONE",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "08902",
            "telephone_number": "732-297-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICALVIEWLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRIZONT",
        "authorized_official_first_name": "POLINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-297-2020",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OPTITION"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NJ",
            "license": "3443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "17102",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7869002",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "NJ 3443",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "43971",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

  • 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.