Organization Active NPI

Vision Plus LLC

  • Optometrist
  • Bergenfield, NJ
National Provider Identifier
1962803494
Registry record updated Dec 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OA005751 Issued in NJ
Legal business name
VISION PLUS LLC
Practice address
6 Briarcliffe Rd
Bergenfield, NJ 07621-4021
Phone
(917) 548-5083
NPI assigned
Sep 16, 2014
Last updated
Dec 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2014

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

Authorized official

Name
Dr. Maty Youngewirth, ODNPI 1528194560
Title
Optometrist
Phone
(917) 548-5083

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
Optometrist 152W00000X OA005751 NJ Primary

Addresses

Primary practice location

6 Briarcliffe Rd
Bergenfield, NJ 07621-4021

Mailing address

6 Briarcliffe Rd
Bergenfield, NJ 07621-4021
Phone (917) 548-5083

National Provider Directory

National Provider Directory

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": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1962803494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BRIARCLIFFE RD",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076214021",
            "telephone_number": "917-548-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BRIARCLIFFE RD",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076214021",
            "telephone_number": "917-548-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "YOUNGEWIRTH",
        "authorized_official_first_name": "MATY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "917-548-5083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA005751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bergenfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.