Individual provider Active NPI

Victoria Bulbin, O.D.

  • Optometrist
  • Cliffside Park, NJ
National Provider Identifier
1942382239
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00569700 Issued in NJ
Practice address
596 Anderson Ave
Cliffside Park, NJ 07010-1831
Phone
(201) 943-0022
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00569700 NJ Primary

Addresses

Primary practice location

596 Anderson Ave
Cliffside Park, NJ 07010-1831

Mailing address

6 Rustic CT
Florham Park, NJ 07932-2628
Phone (973) 410-1265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050811000144 NJ Practitioner - Optometry 0345279246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

186 Warburton Ave
Hawthorne, NJ 07506-2531
Phone (973) 427-4864

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00569700NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bulbin Optometry PC Optometrist CurrentSince May 8, 2010 Accepting new patients
State of New York Comptrollers Office Past Accepting new patients

Locations

186 Warburton Ave
Hawthorne, NJ 07506
Phone (201) 805-2749

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1942382239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 RUSTIC CT",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079322628",
            "telephone_number": "973-410-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 ANDERSON AVE",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101831",
            "telephone_number": "201-943-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULBIN",
        "first_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00569700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cliffside Park, NJ

Sources for this page

Verify at the official NPI Registry.