INNOVATION OPTICS (NPI# 1003997909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003997909 |
| Entity Type | Organization |
| Organization Name | INNOVATION OPTICS |
| Practice Address |
127 Chestnut St Roselle Park NJ 07204-2275 |
| Practice Telephone | 9082450900 |
| Mailing Telephone | 9082450900 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2011-01-25 |
| Authorized Official Name | ALAN MITCHELL GREENBERG (OWNER) |
| Authorized Official Telephone | 9082450900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
========= | NJ | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 2989107-01 | 05 |
| Street Address |
127 CHESTNUT ST |
| City | ROSELLE PARK |
| State | NJ |
| Zip Code | 07204-2275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942208632 | Michael H Friedman | Ophthalmology | 127 Chestnut St, Roselle Park, NJ 07204-2261 | 2005-07-07 |
| 1245428218 | Michael H Friedman, Md | Ophthalmology | 127 Chestnut St, Roselle Park, NJ 07204-2275 | 2007-10-04 |
| 1336129246 | Personal Touch Home Care of Nj, Inc | Home Health | 127 Chestnut St, 2nd Floor, Roselle Park, NJ 07204-2275 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609234160 | Jennifer Estela-stollwerck | Nurse Practitioner | 744 Galloping Hill Road, Roselle Park, NJ 07204 | 2016-01-29 |
| 1245668805 | Kristin M Sonneborn | Physical Therapist | 430 East Westfield Avenue Case Plus Rehab, Roselle Park, NJ 07204 | 2013-10-17 |
| 1366785115 | Jeffrey Adam Shrensel | Internal Medicine | 318 East Westfield Avenue, Roselle Park, NJ 07204 | 2013-03-30 |
| 1972760734 | Mailyn Sanchez Malabanan | Physical Therapy Assistant | 820 Elm Street, Roselle Park, NJ 07204 | 2008-05-20 |
| 1376746362 | Diego Alberto Herrera Figueira | Orthopaedic Surgery | 236 E Westfield Avenue, Suite 203, Roselle Park, NJ 07204 | 2007-06-07 |
| 1245384916 | Senior Spirit of Roselle Park | Clinic/Center | 430 East Westfield Avenue, Roselle Park, NJ 07204 | 2007-01-22 |
| 1366592040 | Norman J. Schwartz, Dmd, Pa | Dentist | 14 East Westfield Ave, Roselle Park, NJ 07204 | 2007-01-12 |
| 1437226495 | Garden State Dental Associates, LLC | Dentist | 236 East Westfield Avenue, Roselle Park, NJ 07204 | 2006-11-28 |
| 1851311674 | Stephen D Parker | Family Medicine | 331 Chestnut Street, Roselle Park, NJ 07204 | 2006-07-21 |
| 1447205067 | Gerald West | Otolaryngology | 505 Chestnut Street, Roselle Park, NJ 07204 | 2006-05-23 |
| Find all providers in zip 07204 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
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| 1104442375 | Nishaya Mcnair | Technician/Technologist | 31 W Orchard St Apt 2, Somerville, NJ 08876-1654 | 2020-06-23 |
| 1164980819 | National Vision Inc | Technician/Technologist | 306 Route 9 N, Woodbridge, NJ 07095-1004 | 2019-03-12 |
| 1427520329 | National Vision Inc | Technician/Technologist | 310 State Route 36 Ste 804, West Long Branch, NJ 07764-1027 | 2018-12-18 |
| 1629545983 | Mark Pawloski | Technician/Technologist | 453 New Brunswick Ave, Fords, NJ 08863-2134 | 2018-10-25 |
| 1023584091 | Adam Louis Johnson | Technician/Technologist | 399 N Main St Ste C, Manahawkin, NJ 08050-3069 | 2018-10-17 |
| 1699272591 | National Vision, Inc. | Technician/Technologist | 3077 Route 46, Parsippany, NJ 07054-1233 | 2018-04-09 |
| 1346747227 | National Vision, Inc. | Technician/Technologist | 134 Kingsland Rd Ste 3, Clifton, NJ 07014-1915 | 2018-04-09 |
| 1396241139 | National Vision, Inc. | Technician/Technologist | 200 Passaic Street, Garfield, NJ 07026 | 2018-04-02 |
| 1851809651 | National Vision, Inc. | Technician/Technologist | 2101 State Route 35, Holmdel, NJ 07733-1085 | 2018-01-15 |
| Find all providers with the same taxonomy | ||||
| City | ROSELLE PARK |
| Zip Code | 07204 |
Please comment or provide details below to improve the information on INNOVATION OPTICS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.