NPIMap

Organization Active NPI

Advanced Mobile Eye Care Professional Service Corporation

  • Optometrist
  • Lakewood, NJ
National Provider Identifier
1881832012
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
601000 Issued in NJ
Legal business name
ADVANCED MOBILE EYE CARE PROFESSIONAL SERVICE CORPORATION
Practice address
21 Carasaljo Dr
Lakewood, NJ 08701-2308
Phone
(732) 370-0555
Fax
(732) 370-0556
NPI assigned
Jan 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

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

Authorized official

Name
Dr. Lauren Michelle Bacharach, OD
Title
Owner
Phone
(732) 370-0555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 601000 NJ Primary

Addresses

Primary practice location

21 Carasaljo Dr
Lakewood, NJ 08701-2308

Mailing address

21 Carasaljo Dr
Lakewood, NJ 08701-2308
Phone (732) 370-0555

Other names 1

  • advanced mobile eye care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1881832012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CARASALJO DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012308",
            "telephone_number": "732-370-0555",
            "fax_number": "732-370-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CARASALJO DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012308",
            "telephone_number": "732-370-0555",
            "fax_number": "732-370-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MOBILE EYE CARE PROFESSIONAL SERVICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "BACHARACH",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-370-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "601000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "advanced mobile eye care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.