Essex Eye Surgery & Laser Center

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

Legal business name

ESSEX EYE SURGERY & LASER CENTER

Practice address

1460 Broad St
Bloomfield, NJ 07003-3014

Phone

(973) 338-5566

Fax

(973) 338-0753

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Louis Sheffler

Title

Administrator

Phone

(973) 338-5566

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 31C0001031

Legal name

ESSEX EYE SURGERY & LASER CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

May 5, 1992

Last certification

Jan 11, 2008

Ownership / control type

Proprietary

Facility address

1460 Broad Street
Bloomfield, NJ 07003

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881640563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 BROAD ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033014",
            "telephone_number": "973-338-5566",
            "fax_number": "973-338-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 BROAD ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033014",
            "telephone_number": "973-338-5566",
            "fax_number": "973-338-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX EYE SURGERY & LASER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEFFLER",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "973-338-5566"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BC ID NUMBER",
            "identifier": "311031",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7411405",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ely Anesthesia, LLC
• Empire Medical Associates PC
• Nicole Erins, DPT
• Nelia Maria Espeso Napoles, DMD
• Essex County Infectious Disease
• Essex Family Care Associates LLC
• Essex Hudson Urology PC
• Essex Oral Sugery Associates
• Eye Centers of America, LLC
• Eye Centers of America, LLC

• Ophthalmologic Surgery Clinic/Center in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Ophthalmologic Surgery Clinic/Center in New Jersey

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.