| Eyedrx | |
|
1255 Broad St, Bloomfield, NJ 07003-3000 | |
| (973) 338-7575 | |
| (973) 338-5158 |
| Full Name | Eyedrx |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1255 Broad St, Bloomfield, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598797722 | NPI | - | NPPES |
| 5257603 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Madalyn E. Cowles |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457428583 PECOS PAC ID: 1153399027 Enrollment ID: I20040918000103 |
| Provider Name | Violeta Trajkovska |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548328362 PECOS PAC ID: 4082677141 Enrollment ID: I20041109001004 |
| Provider Name | Cynthia S Boyer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932205960 PECOS PAC ID: 1254369069 Enrollment ID: I20050802001180 |
| Provider Name | David S Crowley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033356084 PECOS PAC ID: 6608805163 Enrollment ID: I20050805000202 |
| Provider Name | Paul D Romano |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386704369 PECOS PAC ID: 9931138229 Enrollment ID: I20050808000208 |
| Provider Name | Allisia Ann Williamson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821156845 PECOS PAC ID: 5597794412 Enrollment ID: I20050810000784 |
| Provider Name | Kathy A Moreira-tortorici |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487722930 PECOS PAC ID: 4880623776 Enrollment ID: I20050811000057 |
| Provider Name | Sandhya Rao |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871661678 PECOS PAC ID: 1456381789 Enrollment ID: I20050817000067 |
| Provider Name | Michelle Avergon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013998939 PECOS PAC ID: 3274551767 Enrollment ID: I20051116000026 |
| Provider Name | Judith M Skinner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235359415 PECOS PAC ID: 5395846323 Enrollment ID: I20070720000602 |
| Provider Name | Hiral Od Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568546000 PECOS PAC ID: 1153419072 Enrollment ID: I20071110000004 |
| Provider Name | David A Nunes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730195611 PECOS PAC ID: 3476622242 Enrollment ID: I20080520000213 |
| Provider Name | Ruth A Jones |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235300427 PECOS PAC ID: 3577633205 Enrollment ID: I20080606000029 |
| Provider Name | Nasrine A Shadpoor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508904335 PECOS PAC ID: 4385702026 Enrollment ID: I20081023000695 |
| Provider Name | Fatima Lucila Constante-gonzalez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457516106 PECOS PAC ID: 8325198906 Enrollment ID: I20090603000275 |
| Provider Name | Ernest M Staehle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114189214 PECOS PAC ID: 7517094782 Enrollment ID: I20100420000272 |
| Provider Name | Susan D Emic |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043289606 PECOS PAC ID: 9133259591 Enrollment ID: I20100610000756 |
| Provider Name | Denise Fures |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649338328 PECOS PAC ID: 9133250418 Enrollment ID: I20100630000608 |
| Provider Name | Thomas J Puzio |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265591218 PECOS PAC ID: 3274664214 Enrollment ID: I20100708000341 |
| Provider Name | Charles M Cummins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396702296 PECOS PAC ID: 8325034887 Enrollment ID: I20100804000499 |
| Provider Name | Veronika Krav |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992896492 PECOS PAC ID: 5395708531 Enrollment ID: I20110603000239 |
| Provider Name | Nimali S Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710906284 PECOS PAC ID: 5496648891 Enrollment ID: I20111031000587 |
| Provider Name | Hanna Haejo Han |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972815090 PECOS PAC ID: 1658544747 Enrollment ID: I20111107000188 |
| Provider Name | Janet Onufer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417038332 PECOS PAC ID: 0941417166 Enrollment ID: I20120117000790 |
| Provider Name | Martin Goldman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922176965 PECOS PAC ID: 4385800606 Enrollment ID: I20120731000568 |
| Provider Name | Jolie Nickel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841543170 PECOS PAC ID: 1153558960 Enrollment ID: I20131223001306 |
| Provider Name | Alan Vo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609970623 PECOS PAC ID: 2365744786 Enrollment ID: I20151231000827 |
| Provider Name | Yujie Chang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891246294 PECOS PAC ID: 2769746874 Enrollment ID: I20180425002171 |
| Provider Name | Francesca O Pinho |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881142818 PECOS PAC ID: 0840570065 Enrollment ID: I20180607000163 |
| Provider Name | Derek A Radich |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629508825 PECOS PAC ID: 8820367691 Enrollment ID: I20180712002213 |
| Provider Name | Stefanie B Scheingold |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629277207 PECOS PAC ID: 9931294899 Enrollment ID: I20181023003507 |
| Provider Name | Gor Shigol |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487038576 PECOS PAC ID: 9234446774 Enrollment ID: I20190109003178 |
| Provider Name | Mohammad Zan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508426891 PECOS PAC ID: 5698003739 Enrollment ID: I20190827002632 |
| Provider Name | Jessica M Haake |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235539701 PECOS PAC ID: 8628397874 Enrollment ID: I20191010001007 |
| Provider Name | Zehra Yilmaz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871142604 PECOS PAC ID: 8426481854 Enrollment ID: I20191125003051 |
| Provider Name | Doris Chiao Luong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497108450 PECOS PAC ID: 4789018813 Enrollment ID: I20191226001528 |
| Provider Name | Krishna Kilachand Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982250627 PECOS PAC ID: 2062849177 Enrollment ID: I20200303000537 |
| Provider Name | Shiza Sarfraz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659986123 PECOS PAC ID: 3971915422 Enrollment ID: I20201208000381 |
| Provider Name | Tina Choe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851987119 PECOS PAC ID: 1557775905 Enrollment ID: I20210127001068 |
| Provider Name | Sweta S Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285201269 PECOS PAC ID: 6103227475 Enrollment ID: I20210623003522 |
| Provider Name | Rosani Bhavsar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093291585 PECOS PAC ID: 2668873589 Enrollment ID: I20210630000626 |
| Provider Name | Nazmul Hasan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093001117 PECOS PAC ID: 4082016019 Enrollment ID: I20210713001417 |
| Provider Name | Maya Panchal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326615527 PECOS PAC ID: 8325440035 Enrollment ID: I20210716001086 |
| Provider Name | Angel Arizmendy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588236079 PECOS PAC ID: 2365847118 Enrollment ID: I20210817004283 |
| Provider Name | Alham Mohammad Ali |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952070278 PECOS PAC ID: 1850799768 Enrollment ID: I20211007000485 |
| Provider Name | Morgan Reinelle Franke |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902472244 PECOS PAC ID: 4284019589 Enrollment ID: I20220922003726 |
| Provider Name | Mona Jashvant Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134852866 PECOS PAC ID: 7315314945 Enrollment ID: I20221110000975 |
| Provider Name | Nancy Phung |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679144588 PECOS PAC ID: 4183095045 Enrollment ID: I20230201000827 |
| Provider Name | Sonia Panchal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841869005 PECOS PAC ID: 9638544265 Enrollment ID: I20230412001288 |
| Provider Name | Monica Joshi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184325318 PECOS PAC ID: 6204291610 Enrollment ID: I20230508000649 |
| Provider Name | Ahmed A Elgabroni |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659034130 PECOS PAC ID: 9335505510 Enrollment ID: I20230512001160 |
| Provider Name | John Emmanuel Komis Ackep |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043546583 PECOS PAC ID: 9638537541 Enrollment ID: I20230626002101 |
| Provider Name | Rebecca Kim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780368928 PECOS PAC ID: 2365801693 Enrollment ID: I20230705003176 |
| Provider Name | Isaiah Engstrom |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851084875 PECOS PAC ID: 1254791254 Enrollment ID: I20230724000216 |
| Provider Name | Noorevelyn Sarsar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215627377 PECOS PAC ID: 3971964263 Enrollment ID: I20230802004396 |
| Provider Name | Chandni Harshad Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821762048 PECOS PAC ID: 5890199004 Enrollment ID: I20230814001440 |
| Provider Name | Jialin Su |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952032799 PECOS PAC ID: 9335502681 Enrollment ID: I20230905000238 |
| Provider Name | Corrine Lynn Como |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457415283 PECOS PAC ID: 3577918127 Enrollment ID: I20231017001730 |
| Provider Name | Shivani Sajikumar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689458622 PECOS PAC ID: 3072962547 Enrollment ID: I20231208001619 |
| Provider Name | Praksha Butala |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447873260 PECOS PAC ID: 2466877543 Enrollment ID: I20240417000501 |
| Mailing Address | Practice Location Address |
|---|---|
| Eyedrx 11103 West Ave, Suite 6, San Antonio, TX 78213-1370 Ph: (210) 524-6663 | Eyedrx 1255 Broad St, Bloomfield, NJ 07003-3000 Ph: (973) 338-7575 |
Kaitlyn Elizabeth Kolzow, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 108 Broughton Ave, Bloomfield, NJ 07003 Phone: 973-743-1331 | |
Anuradha P Rana, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1255 Broad St, Bloomfield, NJ 07003 Phone: 973-338-7575 | |
Dr. Shrabanti Goswami, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1255 Broad St, Bloomfield, NJ 07003 Phone: 973-338-7575 | |
Eye Centers Of America, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1255 Broad St Ste 104, Bloomfield, NJ 07003 Phone: 973-707-7057 | |
Charles M. Cummins, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1255 Broad St, Bloomfield, NJ 07003 Phone: 973-338-7575 Fax: 973-338-5158 | |
Dr. Alma Gabriela Regnault, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1255 Broad St, Bloomfield, NJ 07003 Phone: 973-338-7575 | |
Manar Doughouz, OD Optometrist Medicare: Medicare Enrolled Practice Location: 108 Broughton Ave, Bloomfield, NJ 07003 Phone: 973-743-1331 Fax: 973-743-6577 |