Elemental Eyecare LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ELEMENTAL EYECARE LLC

Practice address

21 Goldsborough Dr
Bayonne, NJ 07002-5069

Phone

(201) 354-2350

Fax

(551) 800-7778

NPI assigned

Feb 5, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Mei Wen Moy, ODNPI 1245679828

Title

Owner

Phone

(512) 299-5907

Specialties & licenses 1

Addresses

Other names 1

• Elemental Eyecare LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mei Wen Moy, OD

  • Optometrist
  • Bayonne, NJ
  • NPI 1245679828
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1992260814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 SUMMIT ST",
            "city": "RIDGEFIELD PARK",
            "state": "NJ",
            "postal_code": "076601427",
            "telephone_number": "512-299-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 GOLDSBOROUGH DR",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070025069",
            "telephone_number": "201-354-2350",
            "fax_number": "551-800-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENTAL EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-05",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "MOY",
        "authorized_official_first_name": "MEI",
        "authorized_official_middle_name": "WEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-299-5907",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elemental Eyecare LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elemental Eyecare LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Safaa Eid
• Jacqueline B Eissa, PHARMACIST
• Heba Elabasiri
• Nour El Houda Elassa
• Manar Eldeeb
• Samah Eliwa
• Sherif Mohamed Elkattawy, DO
• Barry M Elkind, M.D
• Danielle Elizabeth Ellis
• Bassem Elmasry

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.