BAYONNE WISE OPTICAL CENTER (NPI# 1225234537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225234537 |
Entity Type | Organization |
Organization Name | BAYONNE WISE OPTICAL CENTER |
Practice Address |
590 Broadway Bayonne NJ 07002-3826 |
Practice Telephone | 2018233998 |
Practice Fax Number | 2018232181 |
Mailing Telephone | 2018233998 |
Mailing Fax Number | 2018232181 |
Enumeration Date | 2007-06-23 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. PEDRO VIRGILIO PEREZ (OWNER) |
Authorized Official Telephone | 2018233998 |
Authorized Official Credential | OPTICIAN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
D3143 | NJ | Ambulatory Health Care Facilities |
Street Address |
590 BROADWAY |
City | BAYONNE |
State | NJ |
Zip Code | 07002-3826 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336224476 | Jay H Zand | Optometrist | 590 Broadway, Bayonne, NJ 07002-3826 | 2006-10-26 |
1639221930 | Highland Park Vision Center P.a. | Optometrist | 590 Broadway, Bayonne, NJ 07002-3826 | 2007-01-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205436029 | Nimitha Kumar | Dentist | 1216 John F Kennedy Blvd W, 2nd Floor, Bayonne, NJ 07002 | 2020-10-30 |
1972114437 | New Jersery Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 18-40 Goldsborough Drive, Bayonne, NJ 07002 | 2020-08-10 |
1134740707 | Paulanto Dental Clinic Corp | Clinic/Center | 189-195 Ave E, Bayonne, NJ 07002 | 2020-05-05 |
1093377152 | Moneeb Arshad Chohan | General Practice | 9 E 29th St, Bayonne, Bayonne, NJ 07002 | 2019-06-28 |
1477113835 | Jay Hwang | Dentist | 1160 John F. Kennedy Blvd, Suite B, Bayonne, NJ 07002 | 2019-06-18 |
1740845932 | Sara Shi | Student in an Organized Health Care Education/Training Program | Bayonne Medical Center, 29 E 29th St, Bayonne, NJ 07002 | 2019-05-03 |
1376003855 | S.akhtar.md.llc | Internal Medicine | 16 East 29th St, Bayonne, NJ 07002 | 2019-03-21 |
1144799701 | Perfect Home Care | Home Health | 473 Broadway Suite 402, Bayonne, NJ 07002 | 2018-11-13 |
1881174688 | Windmill Alliance Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 184 186 Hobart Avenue, Apartment #2, Bayonne, NJ 07002 | 2018-08-21 |
1437642774 | Agape Chen | Student in an Organized Health Care Education/Training Program | 29th Street & Avenue E, Bayonne, NJ 07002 | 2018-06-12 |
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Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
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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.