Organization Active NPI

Monroe Vision Associates LLC

  • Optometrist
  • Monroe Tup, NJ
National Provider Identifier
1043249337
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5189 Issued in NJ
Legal business name
MONROE VISION ASSOCIATES LLC
Practice address
337 Applegarth Road
Monroe Tup, NJ 08831
Phone
(609) 655-2666
Fax
(609) 655-2692
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Mark Joseph Donlon, ODNPI 1134266844
Title
Doctor Owner
Phone
(609) 655-2666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5189 NJ Primary

Addresses

Primary practice location

337 Applegarth Road
Monroe Tup, NJ 08831

Mailing address

337 Applegarth Road
Monroe Tup, NJ 08831
Phone (609) 655-2666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040722000578 NJ Part B Supplier - Clinic/Group Practice 1153301940 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Monroe TWP, NJ; Monroe Township, NJ

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2089549Monroe Vision Associates337 Applegarth Road, Monroe Township, NJ 08831Certificate of waiverJan 4, 2027

National Provider Directory

National Provider Directory

Locations

333 Spotswood Englishtown Rd
Monroe Twp, NJ 08831
Phone (609) 655-2666

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1043249337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 APPLEGARTH ROAD",
            "city": "MONROE TUP",
            "state": "NJ",
            "postal_code": "08831",
            "telephone_number": "609-655-2666",
            "fax_number": "609-655-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 APPLEGARTH ROAD",
            "city": "MONROE TUP",
            "state": "NJ",
            "postal_code": "08831",
            "telephone_number": "609-655-2666",
            "fax_number": "609-655-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE VISION ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "DONLON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "609-655-2666",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "5189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.