Individual provider Active NPI

Deborah Dimeglio-Unfried, OD

  • Optometrist
  • Princeton, NJ
National Provider Identifier
1013953744
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00555000 Issued in NJ
Practice address
173 Jonathon Dayton CT
Princeton, NJ 08540-7693
Phone
(609) 203-2768
Fax
(609) 203-2768
NPI assigned
Jun 21, 2006
Last updated
Jul 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00555000 NJ Primary
Corneal and Contact Management Optometrist 152WC0802X 27OA00555000 NJ
Corneal and Contact Management Optometrist 152WC0802X TUV006312-1 NY

Addresses

Primary practice location

173 Jonathon Dayton CT
Princeton, NJ 08540-7693

Mailing address

173 Jonathon Dayton CT
Princeton, NJ 08540-7693
Phone (609) 203-2768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050805000016 NJ Practitioner - Optometry 3779527882 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00555000NJMDCorneal and Contact Management Optometrist
TUV006312-1NYMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Campus Eye Group ASC, LLC Current Accepting new patients
Sight Services P.C. Optometrist CurrentSince Oct 1, 2016 Accepting new patients
Campus Eye Group, LLC Optometrist CurrentSince May 14, 2014 Accepting new patients
Ae Optometry LLC Optometrist CurrentSince Nov 17, 2022 Accepting new patients
Campus Eye Group, LLC Optometrist CurrentSince May 14, 2014 Accepting new patients
New Jersey Refractive Professional Corporation Optometrist Past Accepting new patients
Greenwich Eye Center Corneal and Contact Management Past Accepting new patients
Sharpest Vision Refractive Surgery PC Optometrist Past Accepting new patients

Locations

210 Saint Marys Dr
Cherry Hill, NJ 08003
Phone (856) 424-0021

1155 E Jersey St
Elizabeth, NJ 07201
Phone (732) 987-5122

2045 State Route 57
Hackettstown, NJ 07840
Phone (908) 366-4951

3718 Church Rd
#M
Mount Laurel, NJ 08054
Phone (856) 235-7100

65 Jay St
Newark, NJ 07103
Phone (973) 447-8882

1700 Whitehorse Hamilton Square Rd
Ste A1
Trenton, NJ 08690
Phone (215) 781-2020

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1013953744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 JONATHON DAYTON CT",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085407693",
            "telephone_number": "609-203-2768",
            "fax_number": "609-203-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 JONATHON DAYTON CT",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085407693",
            "telephone_number": "609-203-2768",
            "fax_number": "609-203-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMEGLIO-UNFRIED",
        "first_name": "DEBORAH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00555000",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NJ",
            "license": "27OA00555000",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "TUV006312-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.