NPIMap

Organization Active NPI

Coventry Optical, P.C.

  • Eyewear Supplier
  • Washington, NJ
National Provider Identifier
1912140757
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
31TD00313203 Issued in NJ
Legal business name
COVENTRY OPTICAL, P.C.
Practice address
10 Brass Castle Rd
Washington, NJ 07882-6309
Phone
(908) 835-2697
NPI assigned
Apr 9, 2009
Last updated
Nov 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Authorized official

Name
Dr. Susan L Cooley, M.D.NPI 1457321705
Title
Co-Owner
Phone
(908) 859-6055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 31TD00313203 NJ Primary

Addresses

Primary practice location

10 Brass Castle Rd
Washington, NJ 07882-6309

Mailing address

800 Coventry Dr
Phillipsburg, NJ 08865-1973
Phone (908) 454-4858

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1912140757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 COVENTRY DR",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651973",
            "telephone_number": "908-454-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BRASS CASTLE RD",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078826309",
            "telephone_number": "908-835-2697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENTRY OPTICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-09",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "COOLEY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "908-859-6055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NJ",
            "license": "31TD00313203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.