Organization Active NPI

Brunswick Eye Associates

  • Optician
  • Highland Park, NJ
National Provider Identifier
1962521252
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
31TD00344800 Issued in NJ
Legal business name
BRUNSWICK EYE ASSOCIATES
Practice address
317 Cleveland Ave
Highland Park, NJ 08904-1817
Phone
(732) 565-1075
Fax
(732) 565-1076
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Donna Coleman
Title
Optician
Phone
(732) 565-1075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 31TD00344800 NJ Primary

Addresses

Primary practice location

317 Cleveland Ave
Highland Park, NJ 08904-1817

Mailing address

317 Cleveland Ave
Highland Park, NJ 08904-1817
Phone (732) 565-1075

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962521252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 CLEVELAND AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089041817",
            "telephone_number": "732-565-1075",
            "fax_number": "732-565-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 CLEVELAND AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089041817",
            "telephone_number": "732-565-1075",
            "fax_number": "732-565-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNSWICK EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "732-565-1075",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NJ",
            "license": "31TD00344800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, NJ

Sources for this page

  • 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.