NPIMap

Organization Active NPI

Optical Connection Inc

  • Eyewear Supplier
  • Brick, NJ
National Provider Identifier
1962774430
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
OPTICAL CONNECTION INC
Practice address
317 Brick Blvd Ste 210
Brick, NJ 08723-6031
Phone
(732) 255-7444
Fax
(732) 255-9230
NPI assigned
Jan 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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

Authorized official

Name
Mary Gailis
Title
Office Administrator
Phone
(732) 244-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

317 Brick Blvd Ste 210
Brick, NJ 08723-6031

Mailing address

317 Brick Blvd Ste 210
Brick, NJ 08723-6031
Phone (732) 255-7444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130829000447 NJ DME Supplier - Optician 7416077359 Practice locations: Brick, NJ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Optical Connection Inc317 Brick Blvd, Brick, NJ 08723-6031(732) 255-7444 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Nov 15, 2010

National Provider Directory

National Provider Directory
Tax ID family
Southern Ocean Optical3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

317 Brick Blvd
Ste 210
Brick, NJ 08723
Phone (732) 255-7444

NPI Registry JSON

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1962774430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 BRICK BLVD STE 210",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236031",
            "telephone_number": "732-255-7444",
            "fax_number": "732-255-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 BRICK BLVD STE 210",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236031",
            "telephone_number": "732-255-7444",
            "fax_number": "732-255-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL CONNECTION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-31",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "GAILIS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "732-244-4400"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.