Active NPIOrganization

Super Vision LLC

Optometrist in Jersey City, New Jersey

NPI Number1295038552
Practice location
461 Central Ave, Jersey City, NJ 07307-2740
Fax
201-420-1123
Last updated
May 14, 2025

Super Vision LLC is a healthcare organization based in Jersey City, NJ. Super Vision LLC practices in Jersey City, NJ. The NPI Number for Super Vision LLC is 1295038552 and holds a License No. 27OA00615400 (NJ). The current practice location address for Super Vision LLC is 461 Central Ave, Jersey City, NJ 07307-2740 and can be reached out via phone at 201-420-0101 and via fax at 201-420-1123.

Provider Profile Details

NPI Number
1295038552
Provider Name
Super Vision LLC
Provider Entity Type
Organization
Address
461 Central Ave, Jersey City, NJ 07307-2740
Phone Number
201-420-0101
Fax Number
201-420-1123
Primary Taxonomy
Optometrist · 152W00000X
Organization Subpart
No
Authorized Official
Sunny Mukul Raithatha · Owner · 201-724-2227
Provider Enumeration Date
December 8, 2010
Last Update Date
May 14, 2025
Certification Date
May 14, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
461 Central Ave
Jersey City, NJ 07307-2740
Zip
07307-2740
Phone Number
201-420-0101
Fax Number
201-420-1123
Jersey City, NJ 07307Get directions →

Provider Business Mailing Address Details

Address
461 Central Ave
Jersey City, NJ 07307-2740
City
Jersey City
State
NJ
Zip
07307-2740
Phone Number
201-420-0101
Fax Number
201-420-1123

License Information

License Number
27OA00615400
License State
NJ
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Super Vision LLC?

The NPI number of Super Vision LLC is 1295038552. It was assigned on December 8, 2010 and is currently active in the NPPES registry.

What is the specialty of Super Vision LLC?

Super Vision LLC is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 27OA00615400.

Where does Super Vision LLC practice?

The practice location is 461 Central Ave, Jersey City, NJ 07307-2740. The office can be reached at 201-420-0101 (phone) or 201-420-1123 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295038552 directly on the NPPES registry website.

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