OPTICAL OUTLET LLC (NPI# 1851550016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851550016 |
| Entity Type | Organization |
| Organization Name | OPTICAL OUTLET LLC |
| Practice Address |
977 Main St Paterson NJ 07503-2329 |
| Practice Telephone | 9736848400 |
| Practice Fax Number | 9736848401 |
| Mailing Telephone | 9736848400 |
| Mailing Fax Number | 9736848401 |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2019-11-12 |
| Authorized Official Name | MR. ABBY AYOUB (MANAGER) |
| Authorized Official Telephone | 9736848400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285047464 | Optical Outlet LLC | Health Maintenance Organization | 1430 Main Ave, Clifton, NJ 07011-2146 | 2014-06-05 |
| 1194109678 | Optical Outlet LLC | Optometrist | 1430 Main Ave, Clifton, NJ 07011-2146 | 2015-07-15 |
| Street Address |
977 MAIN ST |
| City | PATERSON |
| State | NJ |
| Zip Code | 07503-2329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265700199 | Frank A. Funiciello | Counselor | 977 Main St, Paterson, NJ 07503-2329 | 2011-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001426 | Kevin Vasquez | Student in an Organized Health Care Education/Training Program | St. Joseph's University Medical Hospital 703 Main St, Paterson, NJ 07503 | 2020-04-03 |
| 1689210346 | Denisa Stojakova | Internal Medicine | 37 Crooks Ave Ste 43, Paterson, NJ 07503 | 2019-11-18 |
| 1295206563 | Safa Travel LLC | Taxi | 205 Illinois Ave Fl 2, Paterson, NJ 07503 | 2018-12-16 |
| 1740780980 | Icp2 LLC | Pharmacy | 661main Street, Paterson, NJ 07503 | 2018-02-14 |
| 1194224329 | Reliable Laboratory | Clinical Medical Laboratory | 37 Crooks Avenue #43, Paterson, NJ 07503 | 2018-02-02 |
| 1487178703 | Field of Vision Services, LLC | Community/Behavioral Health | 235 Dakota St. Unit 1, Paterson, NJ 07503 | 2017-07-28 |
| 1982125043 | Saera Watanabe | Student in an Organized Health Care Education/Training Program | 703 Main Street, St. Joseph's Regional Medical Center, Department of Pediatrics, Paterson, NJ 07503 | 2017-06-29 |
| 1396266680 | Tulip Obgyn LLC | Obstetrics & Gynecology | 991 Main St Ste 2b, Paterson, NJ 07503 | 2017-06-28 |
| 1194251421 | Straight and Narrow, Inc | Substance Abuse Rehabilitation Facility | 410 Straight Street, Paterson, NJ 07503 | 2017-05-05 |
| 1083160956 | St. Josephs Regional Medical Center | Student in an Organized Health Care Education/Training Program | 400 Hospital Plaza, Paterson, NJ 07503 | 2016-08-30 |
| Find all providers in zip 07503 | ||||
| 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 |
|---|---|---|---|---|
| 1891826533 | Alan Robert Cooper | Optometrist | 136 Market St, Paterson, NJ 07505-1402 | 2007-03-07 |
| 1740848399 | Paterson Optometric Group | Optometrist | 100 Main St, Paterson, NJ 07505-1024 | 2019-05-30 |
| 1790236735 | Main St. Optical LLC | Optometrist | 1010 Main St, Paterson, NJ 07503-2212 | 2016-10-14 |
| 1972943512 | Trusha Patel | Optometrist | 680 Broadway, Suite 114, Paterson, NJ 07514-1524 | 2013-06-27 |
| 1538415468 | Gold Optical | Optometrist | 136 Market St, Paterson, NJ 07505-1402 | 2012-07-30 |
| 1053609305 | Opti Eye Care | Optometrist | 140 Main Street, Paterson, NJ 07505-1023 | 2011-07-20 |
| 1356664700 | Myron Bloch Od PC | Optometrist | 165 Main St, Paterson, NJ 07505-1201 | 2010-03-11 |
| 1912059148 | Eye Contact of Paterson | Optometrist | 165 Main St, Paterson, NJ 07505-1201 | 2007-01-17 |
| 1104977073 | Aviva C Graff Distenfeld | Optometrist | 680 Broadway, Suite 114, Paterson, NJ 07514-1422 | 2007-01-16 |
| 1861542631 | Myron I Bloch | Optometrist | 165 Main St, Paterson, NJ 07505-1201 | 2007-01-12 |
| Find all providers in PATERSON | ||||
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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.