BROADWAY VISION SERVICES INC.
NPI 1073721817
Optometrist in Newark, NJ

Q: What is Broadway Vision Services Inc.'s NPI number?

The NPI number for Broadway Vision Services Inc. is 1073721817. It was assigned to this organization in the NPPES registry on May 17, 2007.

Q: What is Broadway Vision Services Inc.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since May 17, 2007

59 BROADWAY, NEWARK, NJ 07104(972) 268-2565(973) 484-3868 Get Directions Write a Review

NPPES record last updated: May 16, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Broadway Vision Services Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROADWAY VISION SERVICES INC. (NPI 1073721817) is a healthcare organization registered as an optometrist in Newark, New Jersey and active in the NPI registry since May 2007. The organization lists Chinwendu Anukwuem, Owner, as its authorized official.

NPPES Registry Identity

NPI1073721817

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameBROADWAY VISION SERVICES INC.

Location Address59 BROADWAYNewark, NJ 07104-2503

Mailing Address59 BroadwayNewark, NJ 07104-2503 · (972) 268-2565 · Fax (973) 484-3868

Phone(972) 268-2565

Fax(973) 484-3868

Organization SubpartNo

Authorized OfficialChinwendu AnukwuemOwner · (973) 268-2565

Enumeration DateMay 17, 2007

Last NPPES UpdateMay 16, 2013

✔ NPI 1073721817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in NJ · 27OA00509100

Definition

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.

59 BROADWAY, Newark, NJ 07104

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Broadway Vision Services Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateNew JerseyEnrollment IDO20040401000967Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Broadway Vision Services Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Chinwendu Anukwuem, O.D.

Optometry

NPI 1003976523

59 BROADWAY
Newark, NJ 07104

(973) 268-2565

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Broadway Vision Services Inc.'s NPI number?

The NPI number for Broadway Vision Services Inc. is 1073721817. It was assigned to this organization in the NPPES registry on May 17, 2007.

Where is Broadway Vision Services Inc. located?

Broadway Vision Services Inc. is located at 59 Broadway, Newark, NJ 07104. The listed phone number is (972) 268-2565.

What is Broadway Vision Services Inc.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Broadway Vision Services Inc. enrolled in Medicare?

Yes. Broadway Vision Services Inc. is registered in the Medicare PECOS enrollment system.

When is Broadway Vision Services Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Broadway Vision Services Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Broadway Vision Services Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Broadway Vision Services Inc. accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Broadway Vision Services Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Broadway Vision Services Inc. was last updated on May 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.