Individual provider Active NPI

Ann P. Higgins, O.D.

  • Optometrist
  • Franklin Lakes, NJ
National Provider Identifier
1033272885
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA 00472600 Issued in NJ
Practice address
801 Franklin Avenue
Franklin Lakes, NJ 07417-1371
Phone
(201) 848-1184
Fax
(201) 847-7731
NPI assigned
Dec 19, 2006
Last updated
Apr 25, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA 00472600 NJ Primary
Corneal and Contact Management Optometrist 152WC0802X 27OA 00472600 NJ

Addresses

Primary practice location

801 Franklin Avenue
Franklin Lakes, NJ 07417-1371

Mailing address

1 Pace Dr
Wyckoff, NJ 07481-2409
Phone (201) 847-0958

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050801000225 NJ Practitioner - OptometryPractitioner - Ophthalmology 9739117797 Practice locations: Franklin Lakes, NJ

Care Compare profile

Medicare Care Compare
Specialty
OptometryAlso: Ophthalmology
Education
State University of New York - State College Optometry, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

801 Franklin Ave
Franklin Lakes, NJ 07417-1371
Phone (201) 848-1184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA 00472600NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Sports PT One LLC PastSince Oct 9, 2023 Accepting new patients

Organizations & group practices 1

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1033272885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PACE DR",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812409",
            "telephone_number": "201-847-0958",
            "fax_number": "201-847-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 FRANKLIN AVENUE",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171371",
            "telephone_number": "201-848-1184",
            "fax_number": "201-847-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "ANN",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA 00472600",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NJ",
            "license": "27OA 00472600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Lakes, NJ

Sources for this page

Verify at the official NPI Registry.