THE OPTIC NERVE, INC. (NPI# 1871991570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871991570 |
| Entity Type | Organization |
| Organization Name | THE OPTIC NERVE, INC. |
| Other Organization Name | PEARLE VISION |
| Practice Address |
163 Route 73 S Marlton NJ 08053-4120 |
| Practice Telephone | 8569851300 |
| Practice Fax Number | 8569851346 |
| Mailing Telephone | 8569851300 |
| Mailing Fax Number | 8569851346 |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2014-12-11 |
| Authorized Official Name | MR. COLIN D. YODER (OPTICIAN/OWNER) |
| Authorized Official Telephone | 8569851300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FC0800X |
Technician/Technologist Specialization: Contact Lens |
31TD00342201 | NJ | Eye and Vision Services Providers |
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
31TD00342201 | NJ | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Pearle Vision | Doing Business As Name - Organization |
| Street Address |
163 ROUTE 73 S |
| City | MARLTON |
| State | NJ |
| Zip Code | 08053-4120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992902068 | Nguyen Eye Care Associates, LLC | Optometrist | 163 Route 73 S, Marlton, NJ 08053-4120 | 2007-06-30 |
| 1619265543 | Vincent E Sorgentoni | Optometrist | 163 Route 73 S, Marlton, NJ 08053-4120 | 2011-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509288 | South Jersey Coping Clinic | Counselor | 525 Nj Route 73 South, Ste 306, Marlton, NJ 08053 | 2020-02-11 |
| 1780216952 | Aba Residential | Psychologist | 7 Cooper Ave Suit A, Marlton, NJ 08053 | 2020-02-06 |
| 1003447400 | Forrest Mark Waterman | Optometrist | 928 Nj-73, Evesham Township, NJ 08053 | 2020-02-04 |
| 1124666862 | Bh Brightview Greentree Opco, LLC | Alzheimer Center (Dementia Center) | 170 Grrentree Road, Marlton, NJ 08053 | 2019-12-12 |
| 1780226597 | Cassandra Ann Pistorius | Counselor | 77 Lakeside Dr, Marlton, NJ 08053 | 2019-10-14 |
| 1265099741 | Jessica Strassle | Occupational Therapist | 751 Nj-73, Suite 1, Marlton, NJ 08053 | 2019-05-21 |
| 1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
| 1235692120 | Liberty Corner Surgical Center At Marlton LLC | Clinic/Center | 95 Marlton Pike West, Marlton, NJ 08053 | 2019-04-09 |
| 1063995769 | Genesis Counseling Center, Inc. | Counselor | 2003 C Lincoln Dr. W., Marlton, NJ 08053 | 2018-09-10 |
| 1659853414 | Erika V Colbert | Nurse Practitioner | 1 Eves Drive 134, 134, Marlton, NJ 08053 | 2018-08-29 |
| Find all providers in zip 08053 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821179284 | Wal-mart Stores East, Lp | Technician/Technologist | 150 E Route 70, Marlton, NJ 08053-1856 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730798851 | Wal-mart Stores East, Lp | Technician/Technologist | 461 Rt 10 Suite A100, Ledgewood, NJ 07852 | 2020-07-24 |
| 1104442375 | Nishaya Mcnair | Technician/Technologist | 31 W Orchard St Apt 2, Somerville, NJ 08876-1654 | 2020-06-23 |
| 1164980819 | National Vision Inc | Technician/Technologist | 306 Route 9 N, Woodbridge, NJ 07095-1004 | 2019-03-12 |
| 1427520329 | National Vision Inc | Technician/Technologist | 310 State Route 36 Ste 804, West Long Branch, NJ 07764-1027 | 2018-12-18 |
| 1629545983 | Mark Pawloski | Technician/Technologist | 453 New Brunswick Ave, Fords, NJ 08863-2134 | 2018-10-25 |
| 1023584091 | Adam Louis Johnson | Technician/Technologist | 399 N Main St Ste C, Manahawkin, NJ 08050-3069 | 2018-10-17 |
| 1699272591 | National Vision, Inc. | Technician/Technologist | 3077 Route 46, Parsippany, NJ 07054-1233 | 2018-04-09 |
| 1346747227 | National Vision, Inc. | Technician/Technologist | 134 Kingsland Rd Ste 3, Clifton, NJ 07014-1915 | 2018-04-09 |
| 1396241139 | National Vision, Inc. | Technician/Technologist | 200 Passaic Street, Garfield, NJ 07026 | 2018-04-02 |
| 1851809651 | National Vision, Inc. | Technician/Technologist | 2101 State Route 35, Holmdel, NJ 07733-1085 | 2018-01-15 |
| Find all providers with the same taxonomy | ||||
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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.