Eye Health Group of TR LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE HEALTH GROUP OF TR LLC

Practice address

275 Route 22 E
Springfield, NJ 07081-3554

Phone

(321) 537-9979

NPI assigned

Jan 7, 2021

Organization subpart

No

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

Authorized official

Name

Randy Nissinoff, MD

Title

Ceo

Phone

(321) 537-9979

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1972191666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 ROUTE 22 E",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813554",
            "telephone_number": "321-537-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 ROUTE 22 E",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813554",
            "telephone_number": "321-537-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE HEALTH GROUP OF TR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "NISSINOFF",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-537-9979",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Essex Union Podiatry LLP
• Rafael Estrella, DDS
• Vashti Etwaru
• Exceptional Eye Care Group of Springfield L.L.C.
• Eye Health Group of Springfield, LLC
• Ana Noemi Falcon, MA
• Jody Fenelon, RPH
• Jennifer Ann Fernandez, OT
• Muhammad S Feteiha, MD
• Rebeca Figueiras

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.