Active NPIIndividual provider

Jennifer A Vicente, OD

Optometrist in Clifton, New Jersey

NPI Number1376994277
Practice location
1033 Clifton Ave Ste 107, Clifton, NJ 07013-3517
Fax
973-472-6406
Last updated
January 16, 2023

Jennifer Ann Vicente is an Optometrist based in Clifton, NJ. Jennifer Ann Vicente practices in Clifton, NJ and has the professional credentials of OD. The NPI Number for Jennifer Ann Vicente is 1376994277 and holds a License No. 046011142 (IL). The current practice location address for Jennifer Ann Vicente is 1033 Clifton Ave Ste 107, Clifton, NJ 07013-3517 and can be reached out via phone at 973-472-6405 and via fax at 973-472-6406.

Provider Profile Details

NPI Number
1376994277
Provider Name
Jennifer Ann Vicente
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
1033 Clifton Ave Ste 107, Clifton, NJ 07013-3517
Phone Number
973-472-6405
Fax Number
973-472-6406
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
June 22, 2016
Last Update Date
January 16, 2023
Certification Date
November 6, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1033 Clifton Ave Ste 107
Clifton, NJ 07013-3517
Zip
07013-3517
Phone Number
973-472-6405
Fax Number
973-472-6406
Clifton, NJ 07013Get directions →

Provider Business Mailing Address Details

Address
1033 Clifton Ave Ste 107
Clifton, NJ 07013-3517
City
Clifton
State
NJ
Zip
07013-3517
Phone Number
973-472-6405
Fax Number
973-472-6406

License Information

License Number (1)
046011142
License State (1)
IL
Taxonomy (1)
Optometrist · 152W00000X
License Number (2)
27OM00136600
License State (2)
NJ
Taxonomy (2)
Optometrist · 152W00000X · Primary

Legacy Identifiers

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

Other Optometrists near Clifton, NJ

View all Optometrists in Clifton →

Frequently Asked Questions

What is the NPI number of Jennifer A Vicente, OD?

The NPI number of Jennifer A Vicente, OD is 1376994277. It was assigned on June 22, 2016 and is currently active in the NPPES registry.

What is the specialty of Jennifer A Vicente, OD?

Jennifer A Vicente, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in IL under license number 046011142.

Where does Jennifer A Vicente, OD practice?

The practice location is 1033 Clifton Ave Ste 107, Clifton, NJ 07013-3517. The office can be reached at 973-472-6405 (phone) or 973-472-6406 (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 1376994277 directly on the NPPES registry website.

Browse related providers