Individual provider Active NPI

Susan D'Emic, OD

  • Optometrist
  • Red Bank, NJ
National Provider Identifier
1043289606
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OA05030 Issued in NJ
Practice address
70 E Front St
Red Bank, NJ 07701-1851
Phone
(732) 741-0858
Fax
(732) 219-0180
NPI assigned
Mar 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OA05030 NJ Primary

Addresses

Primary practice location

70 E Front St
Red Bank, NJ 07701-1851

Mailing address

70 E Front St
Red Bank, NJ 07701-1851
Phone (732) 741-0858

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
I20100610000756 NJ Practitioner - Optometry 9133259591 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midatlantic Ophthalmology Group PAGroup PAC ID 4082754791, 2 clinicians

Practice addresses (Care Compare)

70 E Front St
FL 4
Red Bank, NJ 07701-1851
Phone (732) 741-0858

Merit-based Incentive Payment System (MIPS)

Final score
90.41 of 100Reported as group
Quality
95
Improvement activities
40
Cost
74.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OA05030NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Midatlantic Ophthalmology Group PA Optometrist CurrentSince Jun 13, 1990 Accepting new patients
Charles M. Cummins, OD., PA Optometrist Current Accepting new patients
Midatlantic Eye Center Inc PastSince Jun 13, 1990 Accepting new patients

Locations

1255 Broad St
Bloomfield, NJ 07003
Phone (973) 338-7575

70 E Front St
Red Bank, NJ 07701
Phone (732) 741-0858

70 E Front St
Fl 4
Red Bank, NJ 07701
Phone (732) 741-0858

2 Route 37 W
Ste G5
Toms River, NJ 08753
Phone (732) 797-0104

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/N6G4uZFC_0VHckv5d67VADXkySFwDJK1/

Organizations & group practices 3

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1043289606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E FRONT ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011851",
            "telephone_number": "732-741-0858",
            "fax_number": "732-219-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E FRONT ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011851",
            "telephone_number": "732-741-0858",
            "fax_number": "732-219-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'EMIC",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA05030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.