EYE CENTERS OF AMERICA, LLC (NPI# 1649563636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649563636 |
| Entity Type | Organization |
| Organization Name | EYE CENTERS OF AMERICA, LLC |
| Other Organization Name | RETINA CENTER OF NEW JERSEY |
| Practice Address |
1255 Broad St Ste 104 Bloomfield NJ 07003-3000 |
| Practice Telephone | 9737075632 |
| Practice Fax Number | 9737077349 |
| Mailing Telephone | 9737075632 |
| Mailing Fax Number | 9737077349 |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2018-11-23 |
| Authorized Official Name | PATRICK M. HIGGINS (CEO &PRESIDENT) |
| Authorized Official Telephone | 9737075632 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 25MA06558600 | NJ | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Retina Center of New Jersey | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437375995 | Eye Centers of America, LLC | Ophthalmology | 39 Seeley Avenue, Kearny, NJ 07032 | 2007-04-17 |
| 1346873320 | Eye Centers of America, LLC | Optometrist | 1255 Broad St Ste 104, Bloomfield, NJ 07003-3061 | 2020-02-18 |
| 1447529557 | Eye Centers of America, LLC | Optometrist | 517 41st St, Union City, NJ 07087-3793 | 2011-12-19 |
| Street Address |
1255 BROAD ST STE 104 |
| City | BLOOMFIELD |
| State | NJ |
| Zip Code | 07003-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023017357 | Lauren A Kallina | Ophthalmology | 1255 Broad St, Ste 104, Bloomfield, NJ 07003-3000 | 2005-07-19 |
| 1194354126 | Tatiana Dea | Nurse Practitioner | 1255 Broad St, Bloomfield, NJ 07003-3000 | 2020-04-02 |
| 1154981140 | Anuradha P Rana | Optometrist | 1255 Broad St, Bloomfield, NJ 07003-3000 | 2019-06-20 |
| 1275088197 | Shrabanti Goswami | Optometrist | 1255 Broad St, Bloomfield, NJ 07003-3000 | 2016-08-20 |
| 1356894869 | Alvin Siv | Optometrist | 1255 Broad St, Bloomfield, NJ 07003-3000 | 2016-08-02 |
| 1437535374 | Amanda Brittany Cielesz | Audiologist | 1255 Broad St, Suite 206, Bloomfield, NJ 07003-3000 | 2015-08-03 |
| 1730560962 | Affordable Care Eye Physician Network | Ophthalmology | 1255 Broad St, Ste 104, Bloomfield, NJ 07003-3000 | 2015-06-12 |
| 1518375617 | Kevin Dishon | Physical Therapist | 1255 Broad St, Suite 207, Bloomfield, NJ 07003-3000 | 2014-08-01 |
| 1972850931 | Audiology Distribution, LLC | Audiologist-Hearing Aid Fitter | 1255 Broad St, Bloomfield, NJ 07003-3000 | 2012-08-09 |
| 1427351964 | Alma Gabriela Regnault | Optometrist | 1255 Broad St, Bloomfield, NJ 07003-3000 | 2010-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316560501 | Delores Heart,llc | Respite Care | Delores Heart, 17 Dodd St. Ste A5, Bloomfield, NJ 07003 | 2020-05-21 |
| 1235798505 | Tina Rivera | Physical Therapy Assistant | A Team Approach, Pt 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2019-06-11 |
| 1144709239 | Jennifer Stuart | Social Worker | 27 Park Place, Apt. 13, Bloomfield, NJ 07003 | 2018-08-09 |
| 1992212179 | Kristina Camille P Manapat | Student in an Organized Health Care Education/Training Program | 1690 Broad St., Bloomfield, NJ 07003 | 2018-01-09 |
| 1760993224 | Vivian Arroyo | Counselor | 76 Baldwin Pl, Bloomfield, NJ 07003 | 2017-10-23 |
| 1942719653 | Savita Singh | Dentist | 40 Conger Street, 1402b, Bloomfield, NJ 07003 | 2017-09-26 |
| 1942729926 | Moya Mathison | Counselor | 27 West St # 5a, Bloomfield, NJ 07003 | 2017-09-11 |
| 1801319512 | Janice Rainford | Counselor | 267 Broughton Ave # 2, Bloomfield, NJ 07003 | 2017-07-25 |
| 1154841468 | Nhat Minh Nguyen | Nurse Practitioner | 3 Donald St, Apt. D, Bloomfield, NJ 07003 | 2017-06-27 |
| 1578091872 | Janice M. Steel | Physical Therapy Assistant | 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2017-05-31 |
| Find all providers in zip 07003 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730259623 | Herbert Leonard Glatt | Ophthalmology | 1025 Broad St, Bloomfield, NJ 07003-2844 | 2006-11-08 |
| 1215993712 | S Jerome Holtz | Ophthalmology | 108 Broughton Ave, Bloomfield, NJ 07003-3989 | 2006-04-24 |
| 1023017357 | Lauren A Kallina | Ophthalmology | 1255 Broad St, Ste 104, Bloomfield, NJ 07003-3000 | 2005-07-19 |
| 1881693059 | Lee M Angioletti | Ophthalmology | 1255 Broad St Ste 104, Bloomfield, NJ 07003 | 2005-07-19 |
| 1063410546 | Burton Cunin | Ophthalmology | 4 Northwestern Dr, Bloomfield, CT 06002-3444 | 2005-07-08 |
| 1730560962 | Affordable Care Eye Physician Network | Ophthalmology | 1255 Broad St, Ste 104, Bloomfield, NJ 07003-3000 | 2015-06-12 |
| 1871808683 | Eye Surgeons of North Jersey, LLC | Ophthalmology | 199 Broad St, Suite 2b, Bloomfield, NJ 07003-2635 | 2010-08-17 |
| 1972823763 | Justin Gutman | Ophthalmology | 1255 Broad St Ste 104, Bloomfield, NJ 07003-3061 | 2010-06-03 |
| 1336479591 | Peter C. Donshik, M.d., P.C. | Ophthalmology | 47 Jolley Drive, Bloomfield, CT 06002 | 2010-01-11 |
| 1932437845 | Herbert L Glatt,m.d.p.a. | Ophthalmology | 1025 Broad St, Bloomfield, NJ 07003-2844 | 2009-12-04 |
| Find all providers in BLOOMFIELD | ||||
| City | BLOOMFIELD |
| Zip Code | 07003 |
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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.