PEARLE VISION RIVERDALE/RELM OPTICIANS,LLC (NPI# 1962680595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962680595 |
Entity Type | Organization |
Organization Name | PEARLE VISION RIVERDALE/RELM OPTICIANS,LLC |
Practice Address |
92 Route 23n Riverdale NJ 07457 |
Mailing Address |
92 Rte 23n Suite E Riverdale NJ 07457 |
Practice Telephone | 9732481188 |
Practice Fax Number | 9732481125 |
Mailing Telephone | 9732481188 |
Mailing Fax Number | 9732481125 |
Enumeration Date | 2008-02-06 |
Last Update Date | 2008-02-06 |
Authorized Official Name | MS. EMMA MUTZ (MANAGING MEMBER) |
Authorized Official Telephone | 9732481188 |
Authorized Official Credential | OPTICIAN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
Street Address |
92 ROUTE 23N |
City | RIVERDALE |
State | NJ |
Zip Code | 07457 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891395612 | Stephanie D Vortman | Pharmacist | 48 State Route 23, Pharmacy At Walmart, Riverdale, NJ 07457 | 2020-10-30 |
1174130918 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Route 23 N, Riverdale, NJ 07457 | 2020-09-25 |
1649811589 | Laboratory Medicine Diagnostics | Clinical Medical Laboratory | 82 Newark-pompton Tpke, 2nd Floor, Suite 1, Riverdale, NJ 07457 | 2019-10-02 |
1962989632 | Alyson Escalona | Optometrist | 92 Nj-23, Riverdale, NJ 07457 | 2018-07-25 |
1235522301 | Heather Diane Weglinski | Registered Nurse | 2214 Ramapo Ct., Riverdale, NJ 07457 | 2015-03-12 |
1972923506 | Isaak Gorelov | Rehabilitation Practitioner | 6 North Corporate Drive, Push To Walk, Riverdale, NJ 07457 | 2014-04-22 |
1518275346 | Jessie Yenyi Lee | Physical Therapist | 49 Hamburg Turnpike, Riverdale, NJ 07457 | 2010-09-14 |
1700054236 | Randi Marie Johansen | Technician/Technologist | 92 Rte 23n, Suite E, Riverdale, NJ 07457 | 2008-02-19 |
1649448655 | Emma Mutz | Technician/Technologist | 92 Rte23n, Suite E, Riverdale, NJ 07457 | 2008-02-12 |
1164612685 | Annette Marie Juskiewicz | Physical Therapist | 18 Newark Pompton Turnpike, Riverdale, NJ 07457 | 2007-07-31 |
Find all providers in zip 07457 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376038141 | National Vision, Inc. | Technician/Technologist | 821 West Riverdale Road, Riverdale, UT 84405 | 2018-06-25 |
1326539081 | Daniel Dario Lorenzo | Technician/Technologist | 6811 Kenilworth Ave Fl 5, Riverdale, MD 20737-1333 | 2018-05-29 |
1700054236 | Randi Marie Johansen | Technician/Technologist | 92 Rte 23n, Suite E, Riverdale, NJ 07457 | 2008-02-19 |
1649448655 | Emma Mutz | Technician/Technologist | 92 Rte23n, Suite E, Riverdale, NJ 07457 | 2008-02-12 |
1528143369 | Wal-mart Stores East, Lp | Technician/Technologist | 48 Rt 23 N, Riverdale, NJ 07457 | 2006-10-26 |
1245329226 | Sam's Club Optical | Technician/Technologist | 4949 S 900 W, Riverdale, UT 84405-3777 | 2006-10-11 |
1912099847 | Wal-mart Stores, Inc | Technician/Technologist | 4848 S 900 W, Riverdale, UT 84405-3726 | 2006-09-28 |
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 |
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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.