Individual provider Active NPI

Heather Deeble, O.D.

  • Optometrist
  • Millburn, NJ
National Provider Identifier
1043281017
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27TO00138000 Issued in NJ
Practice address
249 Main St
Millburn, NJ 07041-1122
Phone
(973) 467-2288
Fax
(973) 467-1455
NPI assigned
Jan 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27TO00138000 NJ Primary

Addresses

Primary practice location

249 Main St
Millburn, NJ 07041-1122

Mailing address

249 Main St
Millburn, NJ 07041-1122
Phone (973) 467-2288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051122000235 NJ Practitioner - Optometry 1759307770 Reassigns benefits to 2 organizations
I20210322001877 PA Practitioner - Optometry 1759307770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jason D Munitz OD LLCGroup PAC ID 8426337262, 3 clinicians
Contact Lens and Vision Associates, P.aGroup PAC ID 1850355975, 7 clinicians

Practice addresses (Care Compare)

295 Buck Rd
Suite 316
Holland, PA 18966-1750
Phone (215) 953-1200

3710 Route 9 N
Suite 1501
Freehold, NJ 07728-4805
Phone (732) 780-3000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27TO00138000NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jason D Munitz OD LLC Optometrist CurrentSince Jun 27, 2024 Accepting new patients
Contact Lens and Vision Associates, P.a Optometrist CurrentSince Aug 7, 2011 Accepting new patients
Contact Lens and Vision Consultants, P.a Optometrist CurrentSince Aug 7, 2011 Accepting new patients
Barbara J Tarbell, OD Optometrist Past Accepting new patients
Summit Medical Group, Inc Optometrist PastSince Jul 22, 2005 Accepting new patients
NJ Visionair Optometrist PastSince Jul 16, 2019 Accepting new patients

Locations

3710 Route 9 S
Ste 1501
Freehold, NJ 07728
Phone (732) 780-3000

161 A Woodbridge Ctr Dr
Woodbridge, NJ 07095
Phone (732) 698-1898

161 A Woodbridge Ctr Dr
Woodbridge, NJ 07095
Phone (732) 855-7950

295 Buck Rd
Ste 316
Southampton, PA 18966
Phone (215) 953-1200

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236816000000",
    "number": "1043281017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 MAIN ST",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411122",
            "telephone_number": "973-467-2288",
            "fax_number": "973-467-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 MAIN ST",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411122",
            "telephone_number": "973-467-2288",
            "fax_number": "973-467-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEBLE",
        "first_name": "HEATHER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2009-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27TO00138000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

Verify at the official NPI Registry.