Organization Active NPI

Dr Suzanne Offen Inc

  • Optometrist
  • Westfield, NJ
National Provider Identifier
1922091255
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
270A00437900 Issued in NJ
Legal business name
DR SUZANNE OFFEN INC
Practice address
518 Westfield Ave
Westfield, NJ 07090-3312
Phone
(908) 789-1177
Fax
(908) 789-7431
NPI assigned
Aug 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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

Authorized official

Name
Dr. Suzanne R Offen, OD
Title
Pres
Phone
(908) 789-1177

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 270A00437900 NJ Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 27TO00014400 NJ
Corneal and Contact Management OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WC0802X 27OA00437900 NJ

Addresses

Primary practice location

518 Westfield Ave
Westfield, NJ 07090-3312

Mailing address

524 Westfield Ave
Westfield, NJ 07090-3312
Phone (908) 789-1177

Other identifiers 4

IdentifierTypeStateIssuer
3319008MedicaidNJ
6638968OtherCIGNA PPO
000034945OtherHORIZON BC
410026253OtherRAILROAD MEDICARE

Other names 1

  • Offen Eye Associates Doing business as

National Provider Directory

National Provider Directory

Locations

518 Westfield Ave
Westfield, NJ 07090
Phone (908) 721-6517

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1922091255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 WESTFIELD AVE",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070903312",
            "telephone_number": "908-789-1177",
            "fax_number": "908-789-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 WESTFIELD AVE",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070903312",
            "telephone_number": "908-789-1177",
            "fax_number": "908-789-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SUZANNE OFFEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "OFFEN",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "908-789-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00437900",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27TO00014400",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NJ",
            "license": "27OA00437900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3319008",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO",
            "identifier": "6638968",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BC",
            "identifier": "000034945",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410026253",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Offen Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.