| Star Optical | |
|
158 Market St, Paterson, NJ 07505-1702 | |
| (973) 684-1545 | |
| (973) 345-6120 |
| Full Name | Star Optical |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 158 Market St, Paterson, 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 |
|---|---|---|---|
| 1609976836 | NPI | - | NPPES |
| 5257905 | Medicaid | NJ | |
| 0380601 | Medicaid | NJ | |
| 3279201 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4306 (New Jersey) | Primary |
| 152W00000X | Optometrist | 5207 (New Jersey) | Secondary |
| Provider Name | Wae Y Shin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396718532 PECOS PAC ID: 0446289995 Enrollment ID: I20050805000180 |
| Provider Name | Van P Vinciguerra |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467445171 PECOS PAC ID: 1153463120 Enrollment ID: I20100129000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Star Optical 158 Market St, Paterson, NJ 07505-1702 Ph: (973) 684-1545 | Star Optical 158 Market St, Paterson, NJ 07505-1702 Ph: (973) 684-1545 |
Opti Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 140 Main Street, Paterson, NJ 07505 Phone: 973-357-8357 Fax: 973-357-8359 | |
Aviva C Graff Distenfeld, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 680 Broadway, Suite 114, Paterson, NJ 07514 Phone: 973-742-4747 Fax: 973-742-0629 | |
Myron Bloch Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 165 Main St, Paterson, NJ 07505 Phone: 973-278-4480 Fax: 973-278-6003 | |
Wae Y. Shin, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 158 Market St, Paterson, NJ 07505 Phone: 973-684-1545 Fax: 973-345-6120 | |
North Jersey Center For Sight, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 210 E 32nd St, Paterson, NJ 07504 Phone: 973-742-6016 Fax: 973-742-0629 | |
Paterson Eye Care Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 141 Main St, Paterson, NJ 07505 Phone: 973-278-1924 | |
Gold Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 136 Market St, Paterson, NJ 07505 Phone: 973-278-5300 Fax: 973-523-5856 |