Laila F Abbas, OD (OPTOMETRIST)

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00674900 Issued in NJ

Practice address

1135 Main Ave FL 1
Clifton, NJ 07011-2353

Phone

(973) 685-7280

NPI assigned

Jul 7, 2017

Last updated

Jul 19, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bergen Optometry LLCGroup PAC ID 2062790439, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Bergen Optometry, LLC

  • Optometrist
  • Hackensack, NJ
  • NPI 1780044958
  Medicare reassignment Care Compare group
• Noor Vision Center LLC

  dba Noor Optical

  • Medical Specialty Clinic/Center
  • Clifton, NJ
  • NPI 1215449350
  Authorized official Same address or phone
• Bergen Optometry Group, PA

  • Optometrist
  • Hackensack, NJ
  • NPI 1679634208
  NPD (past)

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500422400000",
    "number": "1942722277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 MAIN AVE FL 1",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 MAIN AVE FL 1",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112353",
            "telephone_number": "973-685-7280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBAS",
        "first_name": "LAILA",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "OD (OPTOMETRIST)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2017-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00674900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14000261",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ BOARD LICENSE",
            "identifier": "27OA00674900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peder Aakjar
• Aanikash Group
• ABA Parent Training Refuge LLC
• Joseph M Abadir, DPT
• Katherine Abarca
• Abbasi Medical Group LLC
• Tareef Abbasi, MD
• Jadan H Abbassi, MD
• Noor Abdalla, DDS
• Abdalla H Abdelaziz, BVSC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.