REVITAL EYES NJ INC (NPI# 1669976494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669976494 |
| Entity Type | Organization |
| Organization Name | REVITAL EYES NJ INC |
| Practice Address |
1515 Rt 22 West Watchung NJ 07069 |
| Mailing Address |
32 Belmar Street Somerset NJ 08873 |
| Practice Telephone | 3479370500 |
| Practice Fax Number | 3479370500 |
| Mailing Telephone | 3479370500 |
| Enumeration Date | 2018-03-18 |
| Last Update Date | 2018-07-10 |
| Authorized Official Name | MOHAMMAD KARIM (PRESIDENT) |
| Authorized Official Telephone | 3479370500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Street Address |
1515 RT 22 WEST |
| City | WATCHUNG |
| State | NJ |
| Zip Code | 07069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336678762 | Dana Silagi | Dentist | 121 Valley Rd, Watchung, NJ 07069 | 2017-06-08 |
| 1295286193 | Pragnesh Patel | Pharmacist | 1501 Us Hwy 22, Walmart Pharmacy, Watchung, NJ 07069 | 2016-10-17 |
| 1457722803 | Ashraf Medical Md.pa | Exclusive Provider Organization | 475 Watchung Ave Suite 8, Watchung, NJ 07069 | 2015-10-12 |
| 1528458288 | Derrell Sloane | Pharmacy Technician | 1155 Rt. 22w, Watchung, NJ 07069 | 2015-02-02 |
| 1841547999 | Stephen John Kustera | Physical Medicine & Rehabilitation | 35 Sequoia Dr., Watchung, NJ 07069 | 2012-08-08 |
| 1568726438 | Manoocher Fateh | Specialist | 536 Johnston Drive, Watchung, NJ 07069 | 2012-06-26 |
| 1609168418 | Renu M Cheng | Physical Therapist | 170 Hill Hollow Road, Watchung, NJ 07069 | 2011-05-11 |
| 1356516173 | Robert Edward Knapp | General Practice | 40 Reynolds Dr, Watchung, NJ 07069 | 2008-04-23 |
| 1104048719 | Jbc Therapeutic Services, Inc. | Social Worker | 786 Mountain Blvd., Suite 102, Watchung, NJ 07069 | 2007-05-03 |
| 1730305491 | Gerri Ricciardi | Dentist | 210 Mountain Blvd., Watchung, NJ 07069 | 2007-04-18 |
| Find all providers in zip 07069 | ||||
| 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 |
|---|---|---|---|---|
| 1023246469 | Watchung Eye Care LLC | Optometrist | 40 Sirling Road, 201, Watchung, NJ 07069-5900 | 2009-06-24 |
| 1285772335 | Howard Springer | Optometrist | 1601 Us Highway 22, Watchung, NJ 07069-6505 | 2007-02-01 |
| 1053493627 | Eyexam Group - Watchung Pa | Optometrist | 1688 Route 22 E, Watchung, NJ 07069-6508 | 2006-10-20 |
| 1548361363 | Christina Karabatsos | Optometrist | 1501 Us Highway 22, Watchung, NJ 07069-6507 | 2006-09-26 |
| 1619936648 | Paul Mansfield Hadley | Optometrist | 10 Shawnee Dr, Watchung, NJ 07069-5803 | 2006-03-20 |
| 1801359211 | National Vision Inc | Optometrist | 1515 Route 22 W, Watchung, NJ 07069-6509 | 2019-04-11 |
| 1477016459 | Foram Shah | Optometrist | 1515 Route 22 W, Watchung, NJ 07069-6509 | 2019-04-08 |
| 1598104556 | Mohammad Karim | Optometrist | 1515 Route 22 W, Watchung, NJ 07069-6509 | 2013-06-22 |
| 1922210947 | Donald F Alvarez | Optometrist | 1688 Route 22 E, Watchung, NJ 07069-6508 | 2007-05-03 |
| 1417169426 | Eric Robinson | Optometrist | 1688 Route 22 E, Watchung, NJ 07069-6508 | 2007-05-03 |
| Find all providers in WATCHUNG | ||||
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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.