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SPECIALTY EYE SURGEON INC
NPI 1801603907
Ophthalmology in Irvington, NJ

Active since December 12, 2024CLIA 31D2273101 · Waiver
40 UNION AVE STE 106, IRVINGTON, NJ 07111(908) 222-8700 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Specialty Eye Surgeon Inc NPPES

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

SPECIALTY EYE SURGEON INC (NPI 1801603907) is a healthcare organization registered as an ophthalmology in Irvington, New Jersey and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through December 6, 2026 and lists Marietoni Ordono, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1801603907
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameSPECIALTY EYE SURGEON INC
Location Address40 UNION AVE STE 106Irvington, NJ 07111-3290
Mailing Address40 Union Ave Ste 106Irvington, NJ 07111-3290 · (908) 222-8700
Phone(908) 222-8700
Organization SubpartNo
Authorized OfficialMarietoni OrdonoCredentialing Manager · (908) 222-8700
Enumeration DateDecember 12, 2024
NPPES CertifiedDecember 12, 2024
✔ NPI 1801603907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
40 UNION AVE STE 106, Irvington, NJ 07111
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2273101

Specialty Eye Mds · South Plainfield, NJ
Active · expires Dec 6, 2026
CLIA Number31D2273101
Laboratory TypePhysician Office
Certificate Effective DateDecember 7, 2024
Certificate Expiration DateDecember 6, 2026
Laboratory DirectorAtul K. Agarwala
Laboratory Phone(908) 222-8700
Laboratory LocationSpecialty Eye Mds906 Oaktree Road Suite 1, South Plainfield, NJ 07080
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Specialty Eye Surgeon Inc's NPI number?

The NPI number for Specialty Eye Surgeon Inc is 1801603907. It was assigned to this organization in the NPPES registry on December 12, 2024.

Where is Specialty Eye Surgeon Inc located?

Specialty Eye Surgeon Inc is located at 40 Union Ave Ste 106, Irvington, NJ 07111. The listed phone number is (908) 222-8700.

What is Specialty Eye Surgeon Inc's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Specialty Eye Surgeon Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2273101) is associated with this NPI, valid through December 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Specialty Eye Surgeon Inc was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.