OrganizationActive
Broadway Optical LLC
NPI 1215721824 · Optometrist · Palisades Park, NJ
Broadway Optical LLC is a Optometrist organization in Palisades Park, NJ (NPI 1215721824).
Provider details
- NPI number
- 1215721824
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Jeanine Graves, Optometrist(201) 310-6947
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
204 Broad Ave
Palisades Park, NJ 07650-1509
Phone: (201) 585-7111
Street-level locationGet directions
Mailing address
204 Broad Ave
Palisades Park, NJ 07650-1509
Other names (DBA / former)
- Doing business as
- Broadway Optical
Registry dates
- Enumerated
- 2025-04-08
- Last updated
- 2025-04-08
- Certified
- 2025-04-08
Frequently asked questions
- What is Broadway Optical LLC's NPI number?
- Broadway Optical LLC's National Provider Identifier (NPI) is 1215721824, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broadway Optical LLC?
- Broadway Optical LLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Broadway Optical LLC located?
- Broadway Optical LLC's practice location on file with NPPES is 204 Broad Ave, Palisades Park, NJ 07650-1509.
- What is Broadway Optical LLC's phone number?
- The practice phone number listed in the NPPES registry for Broadway Optical LLC is (201) 585-7111.
- Who is the authorized official for Broadway Optical LLC?
- The authorized official listed on Broadway Optical LLC's NPPES record is Jeanine Graves, Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broadway Optical LLC's NPI active?
- Yes — Broadway Optical LLC's NPI (1215721824) is active in the NPPES registry as of the last update on 2025-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.