Individual provider Active NPI

Dennis Anthony Corpora, OPTICIAN

  • Optician
  • Jersey City, NJ
National Provider Identifier
1982848271
Registry record updated Apr 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
31TD00204000 Issued in NJ
Practice address
34 Exchange PL
Jersey City, NJ 07302-3885
Phone
(201) 946-9100
NPI assigned
Apr 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 31TD00204000 NJ Primary

Addresses

Primary practice location

34 Exchange PL
Jersey City, NJ 07302-3885

Mailing address

34 Exchange Place
Harborside Financial Center Plaza II
Jersey City, NJ 07311
Phone (201) 946-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
31TD00204000NJMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Wear Associates Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241049600000",
    "number": "1982848271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 EXCHANGE PLACE",
            "address_2": "HARBORSIDE FINANCIAL CENTER PLAZA II",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07311",
            "telephone_number": "201-946-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 EXCHANGE PL",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023885",
            "telephone_number": "201-946-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORPORA",
        "first_name": "DENNIS",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-30",
        "last_updated": "2009-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NJ",
            "license": "31TD00204000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.