Fsa Vision Associates PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

NJ3011205 Issued in NJ

Legal business name

FSA VISION ASSOCIATES PA

Doing business as

Angelini Vision Associates

Practice address

401 W Route 38
Ste B5
Moorestown, NJ 08057-3235

Phone

(856) 234-5048

Fax

(856) 234-5899

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Frank S Angelini, OD

Title

President

Phone

(856) 234-5048

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Angelini Vision Associates Doing business as

Locations

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1942226303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W ROUTE 38",
            "address_2": "STE B5",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573235",
            "telephone_number": "856-234-5048",
            "fax_number": "856-234-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W ROUTE 38",
            "address_2": "STE B5",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573235",
            "telephone_number": "856-234-5048",
            "fax_number": "856-234-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FSA VISION ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "ANGELINI",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-234-5048",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "NJ3011205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2862506",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angelini Vision Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mikaela Teel Fry
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• Melissa S Gabriel, LCSW
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• Mira Gad, DO

• Optometrist in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.