Organization Active NPI

I Care Eye Care LLC

  • Optometrist
  • Tenafly, NJ
National Provider Identifier
1871933424
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00635200 Issued in NJ
Legal business name
I CARE EYE CARE LLC
Practice address
17 S Summit St
Tenafly, NJ 07670-2025
Phone
(201) 465-2115
NPI assigned
Jun 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

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

Authorized official

Name
Dr. Rena Moy-Chang, O.DNPI 1144592601
Title
Owner
Phone
(201) 465-2115

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 27OA00635200 NJ Primary

Addresses

Primary practice location

17 S Summit St
Tenafly, NJ 07670-2025

Mailing address

17 S Summit St
Tenafly, NJ 07670-2025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130913000750 NJ Part B Supplier - Clinic/Group Practice 4284878158 Receives reassigned benefits from 1 practitioner
Practice locations: Tenafly, NJ

National Provider Directory

National Provider Directory

Locations

175 SMT St
NJ 07670

17 S Summit St
Tenafly, NJ 07670
Phone (201) 465-2115

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1871933424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 S SUMMIT ST",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 S SUMMIT ST",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702025",
            "telephone_number": "201-465-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I CARE EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-27",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "MOY-CHANG",
        "authorized_official_first_name": "RENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-465-2115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00635200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tenafly, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.