Organization Active NPI

Spiv Optics, Inc

  • Eyewear Supplier
  • Turnersville, NJ
National Provider Identifier
1992743983
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
SPIV OPTICS, INC
Practice address
3501 Route 42
Unit 360
Turnersville, NJ 08012-1752
Phone
(856) 875-8989
Fax
(856) 875-6978
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Authorized official

Name
Dr. Robert Neil Spivack, O.D.NPI 1568409753
Title
President
Phone
(856) 875-8989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

3501 Route 42
Unit 360
Turnersville, NJ 08012-1752

Mailing address

3501 Route 42
Unit 360
Turnersville, NJ 08012-1752
Phone (856) 875-8989

Other names 1

  • STERLING OPTICAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080314000156 NJ Part B Supplier - Clinic/Group Practice 4385729326 Receives reassigned benefits from 1 practitioner
Practice locations: Turnersville, NJ

National Provider Directory

National Provider Directory

Locations

3501 Route 42
Ste 360
Turnersville, NJ 08012
Phone (856) 875-8989

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1992743983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 ROUTE 42",
            "address_2": "UNIT 360",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080121752",
            "telephone_number": "856-875-8989",
            "fax_number": "856-875-6978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 ROUTE 42",
            "address_2": "UNIT 360",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080121752",
            "telephone_number": "856-875-8989",
            "fax_number": "856-875-6978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIV OPTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "SPIVACK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-875-8989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STERLING OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Turnersville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.