ETHAN SKYLAR VOGEL OD NPI 1902678220

NPI Information

  • NPI: 1902678220
  • Provider Name: ETHAN SKYLAR VOGEL, OD
  • Classification: Optometrist - 152WC0802X
  • Specialization: Corneal and Contact Management
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1455 BROAD ST STE 110
    BLOOMFIELD, NJ
    ZIP 07003
  • Phone: (973) 779-0808

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NPI Details

Ethan Skylar Vogel, OD is a corneal and contact management optometrist in Bloomfield, NJ with 3 years of experience. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. Ethan Skylar Vogel, OD NPI is 1902678220. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PENNSYLVANIA COLLEGE OF OPTOMETRY
Graduation Year:2023

The provider's business location address is:

1455 BROAD ST STE 110
BLOOMFIELD, NJ
ZIP 07003-039
Phone: (973) 779-0808
Fax: (973) 471-1929

The NPI 1902678220 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 10/30/2023 and was last updated on 10/30/2023.

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
1152WC0802XOptometristCorneal and Contact Management27OA00725300NEW JERSEYYes

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: 11/21/2025

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