DP 17 OPTOMETRIC ASSOCIATES (NPI# 1912384652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912384652 |
| Entity Type | Organization |
| Organization Name | DP 17 OPTOMETRIC ASSOCIATES |
| Practice Address |
494 N Rte 17 Paramus NJ 07652-3012 |
| Practice Telephone | 2015991102 |
| Practice Fax Number | 2015991202 |
| Mailing Telephone | 2015991102 |
| Mailing Fax Number | 2015991202 |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2015-05-01 |
| Authorized Official Name | DR. MICHELLE FRASER (OPTOMETRIST) |
| Authorized Official Telephone | 2015991102 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 27040552800 | NJ | Eye and Vision Services Providers |
| Street Address |
494 N RTE 17 |
| City | PARAMUS |
| State | NJ |
| Zip Code | 07652-3012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997789 | Eunice Ramos | Nurse Practitioner | 300-a Forest Avenue, Paramus, NJ 07652 | 2020-09-15 |
| 1740801679 | Daniel Khodorkovsky | Dentist | 1615 Paramus Park, Paramus, NJ 07652 | 2020-05-01 |
| 1548806177 | Shira R Goldstein | Social Worker | 10 Valley Health Plaza, Paramus, NJ 07652 | 2019-11-19 |
| 1225598634 | Life Opportunities Unlimited A Non-profit Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 157 Windsor Rd, Paramus, NJ 07652 | 2019-03-21 |
| 1639635766 | Inna Revutsky | Acupuncturist | Applied Kinesiology Center of Nj, 1 Sears Drive Suite 203, Paramus, NJ 07652 | 2019-02-13 |
| 1154899532 | Aleksandra Bozovic | Nurse Practitioner | 970 Linwood Avenue, Suite 102, Paramus, NJ 07652 | 2018-11-05 |
| 1689156044 | Christopher John Kailath | Behavioral Analyst | 10 Forest Ave Suite 214, Paramus, NJ 07652 | 2018-09-02 |
| 1841786696 | Molly Katherine Lenny | Optometrist | 501 Route 17 South, Paramus, NJ 07652 | 2018-07-05 |
| 1508356155 | Physical Therapy Now Holdings Nj LLC | Clinic/Center | 695 Route 17 South, Paramus, NJ 07652 | 2018-05-18 |
| 1821514373 | Simona Dlabal | Nurse Practitioner | 69 Prospect St, Paramus, NJ 07652 | 2017-08-16 |
| Find all providers in zip 07652 | ||||
| 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 |
|---|---|---|---|---|
| 1134742372 | Family First Vision Care New Jersey | Optometrist | 556 N State Rt 17, Paramus, NJ 07652-3008 | 2020-05-22 |
| 1457905457 | National Vision Inc | Optometrist | 81 E State Rt 4 Ste 103, Paramus, NJ 07652-2667 | 2019-07-29 |
| 1841786696 | Molly Katherine Lenny | Optometrist | 501 Route 17 South, Paramus, NJ 07652 | 2018-07-05 |
| 1346765518 | Alexa Nicole Fox | Optometrist | 351 Evelyn St Ste 301, Paramus, NJ 07652-2901 | 2017-08-09 |
| 1700333291 | Ognjenka Zanko | Optometrist | 275 Forest Ave., Paramus, NJ 07652-5426 | 2016-09-01 |
| 1306278346 | Sarah Y Kim | Optometrist | 501 N Rte 17, Paramus, NJ 07652-3000 | 2013-08-01 |
| 1538341326 | Paramus Contact Vision, Inc | Optometrist | 1 Garden State Plz, Paramus, NJ 07652-2417 | 2007-12-04 |
| 1821285743 | Paramus Contact Associates | Optometrist | 106 Paramus Park Mall, Paramus, NJ 07652-3527 | 2007-09-25 |
| 1063637775 | G & A Optical, Inc. | Optometrist | 193 Route 17 South, Paramus, NJ 07652 | 2007-04-16 |
| 1528194560 | Maty Youngewirth | Optometrist | 193 N State Rt 17, Paramus, NJ 07652-2941 | 2007-02-26 |
| Find all providers in PARAMUS | ||||
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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.