Super Vision LLC
Optometrist in Jersey City, NJ. Organization (NPI-2).
NPI number1295038552
StatusActive
Last updated in NPPESMay 14, 2025
Details
- NPI
- 1295038552
- Entity type
- Organization (NPI-2)
- Legal business name
- Super Vision LLC
- Organization subpart
- No
- Enumeration date
- Dec 8, 2010
- Certification date
- May 14, 2025
- Last updated
- May 14, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 27OA00615400 | NJ | Yes |
Practice location
461 Central AveJersey City, NJ 07307-2740
Phone 201-420-0101 · Fax 201-420-1123
Mailing address
461 Central AveJersey City, NJ 07307-2740
Phone 201-420-0101 · Fax 201-420-1123
Authorized official
Sunny Mukul Raithatha
Owner
2017242227
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