Active NPI
Eyecare Specialties Support of NJ PC
- Optometrist
- Blackwood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- EYECARE SPECIALTIES SUPPORT OF NJ PC
- Practice address
- 901 Route 168 Ste 409-410
Blackwood, NJ 08012-3210 - Phone
- (618) 462-9818
- Fax
- (314) 741-4947
- NPI assigned
- Apr 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Allison
- Title
- Sr. Director MVC
- Phone
- (618) 604-5208
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
901 Route 168 Ste 409-410
Blackwood, NJ 08012-3210
Mailing address
111 E 4TH St Ste 440
Alton, IL 62002-6206
Phone (618) 462-9818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
17 E Browning Rd
Bellmawr, NJ 08031
Phone (856) 931-7609
29 Scotch Rd
Ewing, NJ 08628
Phone (609) 883-6500
302 Union St
Ste 2
Hackensack, NJ 07601
Phone (201) 646-9090
227 Boulevard
Hasbrouck Heights, NJ 07604
Phone (201) 288-1109
84 E Broad St
Ste 2
Hopewell, NJ 08525
Phone (609) 466-0055
260 N County Line Rd
Ste 114
Jackson, NJ 08527
Phone (732) 730-3937
700 Tennent Rd
Manalapan, NJ 07726
Phone (732) 536-0664
1071 State Route 34
Matawan, NJ 07747
Phone (732) 837-0988
1100 Centennial Ave
Ste 204
Piscataway, NJ 08854
Phone (732) 313-2570
575 Route 28
Ste 106
Raritan, NJ 08869
Phone (908) 725-0144
Practitioners & affiliated clinicians
Practitioners 34
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Hasbrouck Heights, NJ
- NPI 1710957998
-
- Optometrist
- Wyckoff, NJ
- NPI 1710048178
-
- Optometrist
- Iselin, NJ
- NPI 1639899438
-
- Optometrist
- Manalapan, NJ
- NPI 1619014297
-
- Optometrist
- Piscataway, NJ
- NPI 1871652081
-
- Optometrist
- Raritan, NJ
- NPI 1396749180
-
- Optometrist
- Hackensack, NJ
- NPI 1568442911
-
- Optometrist
- Deptford, NJ
- NPI 1588641468
-
- Optometrist
- Holmdel, NJ
- NPI 1295981017
-
- Optometrist
- Somerset, NJ
- NPI 1912075276
-
- Optometrist
- Monmouth Junction, NJ
- NPI 1275391161
-
- Optometrist
- Westwood, NJ
- NPI 1265039259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760400000000",
"number": "1003601287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E 4TH ST STE 440",
"city": "ALTON",
"state": "IL",
"postal_code": "620026206",
"telephone_number": "618-462-9818",
"fax_number": "314-741-4947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 ROUTE 168 STE 409-410",
"city": "BLACKWOOD",
"state": "NJ",
"postal_code": "080123210",
"telephone_number": "618-462-9818",
"fax_number": "314-741-4947"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYECARE SPECIALTIES SUPPORT OF NJ PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-10",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A",
"authorized_official_last_name": "ALLISON",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "SR. DIRECTOR MVC",
"authorized_official_telephone_number": "618-604-5208"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blackwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.