NPIMap

Organization Active NPI

Pearle Vision Riverdale/Relm Opticians,LLC

  • Optician
  • Riverdale, NJ
National Provider Identifier
1962680595
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
PEARLE VISION RIVERDALE/RELM OPTICIANS,LLC
Practice address
92 Route 23N
Riverdale, NJ 07457
Phone
(973) 248-1188
Fax
(973) 248-1125
NPI assigned
Feb 6, 2008
Last updated
Feb 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Ms. Emma Mutz, OPTICIANNPI 1649448655
Title
Managing Member
Phone
(973) 248-1188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

92 Route 23N
Riverdale, NJ 07457

Mailing address

92 Rte 23N
Suite E
Riverdale, NJ 07457
Phone (973) 248-1188

National Provider Directory

National Provider Directory

Locations

92 State Rt 23
Ste N
Riverdale, NJ 07457
Phone (973) 248-1188

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1962680595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 RTE 23N",
            "address_2": "SUITE E",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "07457",
            "telephone_number": "973-248-1188",
            "fax_number": "973-248-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 ROUTE 23N",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "07457",
            "telephone_number": "973-248-1188",
            "fax_number": "973-248-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLE VISION RIVERDALE/RELM OPTICIANS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "MUTZ",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "973-248-1188",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.