DR. JACQUETTA EDWARDS (NPI# 1487747887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487747887 |
| Entity Type | Individual |
| Full Name | DR. JACQUETTA EDWARDS |
| Credential | O.D. |
| Practice Address |
651 Kapkowski Rd Suite 1236 Elizabeth NJ 07201-4901 |
| Practice Telephone | 9083541077 |
| Practice Fax Number | 9083541344 |
| Mailing Telephone | 9083541077 |
| Mailing Fax Number | 9083541344 |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 27OA004989 | NJ | Eye and Vision Services Providers |
| Street Address |
651 KAPKOWSKI RD SUITE 1236 |
| City | ELIZABETH |
| State | NJ |
| Zip Code | 07201-4901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205433711 | Deo Brands | Eyewear Supplier (Equipment, not the service) | 651 Kapkowski Rd, Elizabeth, NJ 07201-4901 | 2020-10-07 |
| 1447583372 | Teresa J. Vigario | Optometrist | 651 Kapkowski Rd, Suite 1236, Elizabeth, NJ 07201-4901 | 2009-09-10 |
| 1386877785 | Jersey Garden's Optometry P.C. | Optometrist | 651 Kapkowski Rd, Suite 1236, Elizabeth, NJ 07201-4901 | 2009-09-01 |
| 1700017951 | Jersey Gardens Optical, Lll | Technician/Technologist | 651 Kapkowski Rd, Suite 1236, Elizabeth, NJ 07201-4901 | 2009-08-06 |
| 1790907913 | Jersey Garden Dental Pa | Dentist | 651 Kapkowski Rd, Elizabeth, NJ 07201-4901 | 2007-05-03 |
| 1114144599 | Eyes of Joy | Optometrist | 651 Kapkowski Rd, Suite1236, Elizabeth, NJ 07201 | 2007-04-19 |
| 1205059102 | Eyes of Jay, Inc. | Optometrist | 651 Kapkowski Rd, Elizabeth, NJ 07201-4901 | 2007-04-10 |
| 1992827109 | Daak of Nj, Inc. | Optometrist | 651 Kapkowski Rd, Elizabeth, NJ 07201-4901 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861750 | Columbia Dental of Elizabeth Pa | Dentist | 151 Jefferson Avenue, Elizabeth, NJ 07201 | 2020-11-04 |
| 1154950657 | Real House Inc. | Clinic/Center | 1089-91 East Jersey Street, Elizabeth, NJ 07201 | 2020-04-06 |
| 1588226161 | Latika Patel | Student in an Organized Health Care Education/Training Program | 224 Williamson Street, Elizabeth, NJ 07201 | 2019-07-03 |
| 1598221830 | Trucare Pharmacy Inc. | Pharmacy | 838 E. Grand St, Elizabeth, NJ 07201 | 2019-02-12 |
| 1346762911 | Ronel Sajouste | Non-emergency Medical Transport (VAN) | 476 Adams Avenue, Elizabeth, NJ 07201 | 2017-07-14 |
| 1134649189 | Community Access Unlimitd Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16-22 Jaques St, 3, Elizabeth, NJ 07201 | 2017-06-21 |
| 1881128932 | Rosemarie Nielson | Internal Medicine | 557 Adams Ave, 1f, Elizabeth, NJ 07201 | 2017-04-15 |
| 1467995910 | Lourdes E. Lherisson | Optometrist | 651 Kapkowski Rd., Ste. 1236, Elizabeth, NJ 07201 | 2016-11-30 |
| 1629442462 | Ong Care | Home Health | 1139 E Jersey St Ste 502, Elizabeth, NJ 07201 | 2015-11-17 |
| 1336486547 | Puerto Rican Org for Community Educational & Economic Development | Community/Behavioral Health | 1122 E. Grand St., Elizabeth, NJ 07201 | 2013-01-08 |
| Find all providers in zip 07201 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669030326 | Elizabeth Optometric Group | Optometrist | 230 W Jersey St Ste 201, Elizabeth, NJ 07202-1352 | 2019-05-29 |
| 1467995910 | Lourdes E. Lherisson | Optometrist | 651 Kapkowski Rd., Ste. 1236, Elizabeth, NJ 07201 | 2016-11-30 |
| 1710429089 | Tasnim Noor | Optometrist | 651 Kapkowski Rd Ste 1240, Elizabeth, NJ 07201-4903 | 2016-11-17 |
| 1558548354 | Running Creek Vision Center, Inc. | Optometrist | 796 E. Kiowa Ave, Unit H-10, Elizabeth, CO 80107 | 2008-01-24 |
| 1174641138 | Joseph Norowitz | Optometrist | 1109 Kipling Rd, Elizabeth, NJ 07208-1016 | 2007-03-27 |
| 1851457600 | Joseeph D'oliveira | Optometrist | 1167 Dickinson St, Elizabeth, NJ 07201-2211 | 2006-12-28 |
| 1366455032 | Optical World of Elizabeth LLC | Optometrist | 206 Broad St, Elizabeth, NJ 07201-2304 | 2006-08-14 |
| 1356379010 | Sheryl Frances Silverman | Optometrist | 175 Elmora Ave, Elizabeth, NJ 07202 | 2006-06-29 |
| 1326082926 | Jeffrey P. Sagalow | Optometrist | 520 Westield Ave, 106, Elizabeth, NJ 07208-1644 | 2006-06-15 |
| 1821078924 | Theodore R Sames Jr. | Optometrist | 238 Cresswood Dr, Elizabeth, PA 15037 | 2006-01-17 |
| Find all providers in ELIZABETH | ||||
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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.