ELEGANT EYES, INC (NPI# 1265635932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265635932 |
| Entity Type | Organization |
| Organization Name | ELEGANT EYES, INC |
| Practice Address |
875 Broad St Newark NJ 07102-2622 |
| Practice Telephone | 9736224492 |
| Practice Fax Number | 9736225919 |
| Mailing Telephone | 9736224492 |
| Mailing Fax Number | 9736225919 |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2012-05-22 |
| Authorized Official Name | MRS. DENISE VENNETTA SLAUGHTER (PRESIDENT) |
| Authorized Official Telephone | 9736224492 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
D1360 | NJ | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 3349403 | 05 |
| Street Address |
875 BROAD ST |
| City | NEWARK |
| State | NJ |
| Zip Code | 07102-2622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588746119 | Christian Andres Morillo | Optometrist | 875 Broad St, Newark, NJ 07102-2622 | 2006-10-20 |
| 1386037935 | Sergio Racanati | Optometrist | 875 Broad St, Newark, NJ 07102-2622 | 2015-03-06 |
| 1386046779 | Hyunjin Oh | Optometrist | 875 Broad St, Newark, NJ 07102-2622 | 2014-09-17 |
| 1245556950 | Denise Slaughter | Technician/Technologist | 875 Broad St, Newark, NJ 07102-2622 | 2010-04-20 |
| 1144475005 | Morillo Eye Associates | Optometrist | 875 Broad St, Newark, NJ 07102-2622 | 2008-11-19 |
| 1811059785 | Diego Xavier Morillo | Optometrist | 875 Broad St, Newark, NJ 07102-2622 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
| 1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
| 1679042295 | Henry Paul Grayner | Specialist/Technologist | 100 Lock St, Newark, NJ 07102 | 2018-11-14 |
| 1548736838 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 | 2018-10-15 |
| 1962981407 | Crystal Kay-baune Mccown | Social Worker | 130 Orange St, Newark, NJ 07102 | 2018-08-07 |
| 1053808865 | Nubi Consultants Corp. Dba Aplus Home Care | Physical Therapist | 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 | 2018-04-17 |
| 1396249264 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 49 Lincoln Park, Newark, NJ 07102 | 2018-03-23 |
| 1568960896 | Saint James Health Inc | Clinic/Center | 36 Halsey Street, Newark, NJ 07102 | 2018-02-01 |
| 1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
| 1467974949 | Ahmad Mohammad Tawfiq Damati | Student in an Organized Health Care Education/Training Program | 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 | 2017-07-17 |
| Find all providers in zip 07102 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649682204 | Hee Jong Baek | Technician/Technologist | 11 Liberty Plz Ste C, Newark, DE 19711-5590 | 2014-05-29 |
| 1306257076 | Sonia Martinez | Technician/Technologist | 677 Mount Prospect Avenue, Newark, NJ 07104 | 2014-05-15 |
| 1841403979 | 3n Optical Inc. | Technician/Technologist | 2209 Newpark Mall, Newark, CA 94560-5248 | 2007-05-07 |
| 1467572859 | Monjon Associates, Inc | Technician/Technologist | 631 College Sq, Newark, DE 19711-8604 | 2007-03-30 |
| 1730219569 | 171 Market Street of Nj Inc | Technician/Technologist | 787 Broad St, Newark, NJ 07102-3717 | 2007-03-07 |
| 1003995069 | Optical Palace of Newark LLC | Technician/Technologist | 89 Market St, Newark, NJ 07102-1736 | 2006-11-02 |
| 1710919816 | Optical Dispensary Inc | Technician/Technologist | 117 E Union St, Newark, NY 14513-1503 | 2006-07-07 |
| 1912544719 | Michael Benjamin Leff | Technician/Technologist | 75 1st St, Newark, NJ 07107-3101 | 2019-11-30 |
| 1881199123 | Stephanie Cushman | Technician/Technologist | 1210 Driving Park Ave, Newark, NY 14513-1057 | 2018-03-28 |
| 1457761330 | Bianca Thanhbinh Pham | Technician/Technologist | 35149 Newark Blvd, Suite#b, Newark, CA 94560-1209 | 2014-05-01 |
| Find all providers in NEWARK | ||||
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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.