FLOYD STEPHEN PATTERSPN (NPI# 1407021322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407021322 |
Entity Type | Individual |
Full Name | FLOYD STEPHEN PATTERSPN |
Other Name | NA NA NA |
Credential | OPTICIAN |
Practice Address |
1151 Liberty Ave Hillside NJ 07205-2143 |
Practice Telephone | 9083510420 |
Practice Fax Number | 9083510421 |
Mailing Telephone | 9083510420 |
Mailing Fax Number | 9083510421 |
Enumeration Date | 2008-04-23 |
Last Update Date | 2008-04-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 156FX1800X |
Technician/Technologist Specialization: Optician |
D755 | NJ | Eye and Vision Services Providers |
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
D-755 | NJ | Eye and Vision Services Providers |
Street Address |
1151 LIBERTY AVE |
City | HILLSIDE |
State | NJ |
Zip Code | 07205-2143 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215440243 | Taheerah Nicole Hardy | Technician/Technologist | 1151 Liberty Ave, Hillside, NJ 07205 | 2017-11-13 |
1689125080 | Nj Vision Care LLC | Optometrist | 1151 Liberty Ave, #b, Hillside, NJ 07205-2143 | 2016-10-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932604618 | Adrienne Garro | Psychologist | Kean University East Campus 215 North Avenue, Dept. of Advanced Studies In Psychology East Campus, Hillside, NJ 07205 | 2018-03-26 |
1821347360 | Esther N Lieberman | Specialist | 28 King Street, Hillside, NJ 07205 | 2012-08-30 |
1346430089 | On Call Ambulance, LLC | Ambulance | 431 Hillside Ave, Hillside, NJ 07205 | 2007-07-30 |
1558551481 | Kona K3 Medical Supplies | Durable Medical Equipment & Medical Supplies | 146 Hillside Avenue, Hillside, NJ 07205 | 2007-07-26 |
1154532075 | Hillside Twp. Publlic School | Local Education Agency (LEA) | Hillside High School - Dept of Special Services, 1085 Liberty Ave., Hillside, NJ 07205 | 2007-05-24 |
1881778470 | New Jersey Cvs Pharmacy LLC | Pharmacy | 265 Long Ave Shop Rite Sc, Hillside, NJ 07205 | 2006-10-24 |
1376169094 | Community Smiles of Elizabeth Pa | Dentist | 1100 N Broad St, Hillside, NJ 07205 | 2020-06-18 |
1679041628 | Pharmacotherapy LLC | Respite Care | 58 Blackburn Rd, Hillside, NJ 07205 | 2018-11-07 |
1851810832 | Cherion Jasmine Fullerton-coley | Nurse Practitioner | 1295 State Street, Hillside, NJ 07205 | 2017-09-11 |
1538442090 | Madelene Alvarez | Pharmacist | 1303 N Broad St, Hillside, NJ 07205 | 2011-09-21 |
Find all providers in zip 07205 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
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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 |
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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.