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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 152WS0006X | Optometrist | Sports Vision | 5451 | NEW JERSEY | No |
| 2 | 152W00000X | Optometrist | | 5451 | NEW JERSEY | Yes |
| 3 | 152WX0102X | Optometrist | Occupational Vision | 5451 | NEW JERSEY | No |
| 4 | 152WV0400X | Optometrist | Vision Therapy | 5451 | NEW JERSEY | No |
| 5 | 152WC0802X | Optometrist | Corneal and Contact Management | 5451 | NEW JERSEY | No |
| 6 | 152WL0500X | Optometrist | Low Vision Rehabilitation | 5451 | NEW JERSEY | No |
| 7 | 152WP0200X | Optometrist | Pediatrics | 5451 | NEW JERSEY | No |