Provider Type Icon

DR. RANDY S NISSINOFF OD NPI 1023061348


NPI Information

NPI: 1023061348
Provider Name: DR. RANDY S NISSINOFF, OD
Classification: Optometrist - 152W00000X
Entity Type: Individual
Address:
1278 HOOPER AVE
TOMS RIVER, NJ
ZIP 08753
Phone: (732) 505-0533
Get Directions

DR. Randy S Nissinoff, OD is an optometrist in Toms River, NJ. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DR. Randy S Nissinoff, OD NPI is 1023061348. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1278 HOOPER AVE
TOMS RIVER, NJ
ZIP 08753-324
Phone: (732) 505-0533
Fax: (732) 505-6572

The enumeration date for this NPI number is 5/18/2006 and was last updated on 5/9/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist27OA00506100NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1043721860OTHERNEW JERSEYTAX IDENTIFICATION
21316769OTHERNEW JERSEYAETNA
3203095550OTHERNEW JERSEYTAX IDENTIFICATION
42855956OTHERNEW JERSEYAETNA
523793OTHERNEW JERSEYNVA
61316770OTHERNEW JERSEYAETNA
762810OTHERNEW JERSEYLOCAL 825 OPERATING ENGINEERS
823545OTHERNEW JERSEYNVA
9510661700OTHERNEW JERSEYTAX IDENTIFICATION
10U00832MEDICARE UPINMARYLAND
11204100926OTHERNEW JERSEYTAX IDENTIFICATION
12223791991OTHERNEW JERSEYTAX IDENTIFICATION
1322678OTHERNEW JERSEYNVA
1423731OTHERNEW JERSEYNVA
15311501OTHERNEW JERSEYNVA
163843273OTHERNEW JERSEYAETNA
17911575OTHERNEW JERSEYEYE MED
181316771OTHERNEW JERSEYAETNA
19204100761OTHERNEW JERSEYTAX IDENTIFICATION
20621663MEDICARE PINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.