Organization Active NPI

Dr. Pong Eyecare LLC

  • Optometrist
  • Rockaway, NJ
National Provider Identifier
1982868204
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
270A00612700 Issued in NJ
Legal business name
DR. PONG EYECARE LLC
Practice address
US RT. 80 and Mount Hope Avenue
Jcpenney Optical / Rockaway Townsquare Mall
Rockaway, NJ 07866
Phone
(973) 442-7580
Fax
(973) 361-5184
NPI assigned
Jul 16, 2008
Last updated
Jul 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Dr. Chin-Tsai Cynthia Pong, O.D.NPI 1801069281
Title
Optometrist
Phone
(917) 817-8219

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 270A00612700 NJ Primary

Addresses

Primary practice location

US RT. 80 and Mount Hope Avenue
Jcpenney Optical / Rockaway Townsquare Mall
Rockaway, NJ 07866

Mailing address

60 Gathering Hill Court
Morris Plains, NJ 07950
Phone (917) 817-8219

National Provider Directory

National Provider Directory

Locations

112 S Orange Ave
Sears Opitcal
Livingston, NJ 07039
Phone (973) 994-1184

112 S Orange Ave
Sears Opitcal
Livingston, NJ 07039
Phone (973) 994-1184

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": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1982868204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 GATHERING HILL COURT",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "07950",
            "telephone_number": "917-817-8219",
            "fax_number": "973-267-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "US RT. 80 AND MOUNT HOPE AVENUE",
            "address_2": "JCPENNEY OPTICAL / ROCKAWAY TOWNSQUARE MALL",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "07866",
            "telephone_number": "973-442-7580",
            "fax_number": "973-361-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PONG EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "PONG",
        "authorized_official_first_name": "CHIN-TSAI",
        "authorized_official_middle_name": "CYNTHIA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "917-817-8219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00612700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.