Eye Contact of Elizabeth, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00253100 Issued in NJ

Legal business name

EYE CONTACT OF ELIZABETH, INC.

Doing business as

Elizabeth Family Eyecare

Practice address

1167 Dickinson St
Elizabeth, NJ 07201-2211

Phone

(908) 351-6277

Fax

(908) 351-6338

NPI assigned

Apr 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Joseph D'Oliveira

Title

Owner

Phone

(908) 351-6277

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elizabeth Family Eyecare Doing business as

Locations

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942322367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1167 DICKINSON ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012211",
            "telephone_number": "908-351-6277",
            "fax_number": "908-351-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1167 DICKINSON ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012211",
            "telephone_number": "908-351-6277",
            "fax_number": "908-351-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CONTACT OF ELIZABETH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "D'OLIVEIRA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-351-6277",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00253100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6053203",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elizabeth Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexis Michael Evangelista, MD
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• Neil L Fabricant, DMD

• Optometrist in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Optometrist 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.