Sphero Optical Co Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

D-854 Issued in NJ

Legal business name

SPHERO OPTICAL CO INC

Practice address

179 E Main St
Bergenfield, NJ 07621-2236

Phone

(201) 384-3766

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Randolph Rogers

Title

President

Phone

(201) 384-3766

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992862494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 E MAIN ST",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212236",
            "telephone_number": "201-384-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 E MAIN ST",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212236",
            "telephone_number": "201-384-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPHERO OPTICAL CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-384-3766",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NJ",
            "license": "D-854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3474101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Bergenfield, NJ
• Providers in Bergenfield, NJ by specialty
• Eyewear Supplier in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.