Dennis Armand Cardillo Sr., OD
Individual provider Active NPI Optometrist · Haddon Heights, NJ
NPI 1043352503 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043352503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 27TO00105100 (NJ)
- Practice address
- 714 Station Avenue
Haddon Heights, NJ 08035-1636 - Phone
- (856) 546-8686
- Fax
- (856) 546-0959
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dr Dennis a Cardillo Eye Care
Practice addresses (Care Compare)
714 Station Ave
Haddon Heights, NJ 08035-1636
Phone (856) 546-8686
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050802000103 | NJ | Practitioner - Optometry | 2163450057 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27TO00105100 | NJ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dennis a Cardillo | Optometrist | Current |
Accepting new patients |
| Dr Dennis a Cardillo Eye Care | Optometrist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00404700 | NJ | |
| Optometrist | 152W00000X | 27TO00105100 | NJ | Yes |
Addresses
Primary practice location
714 Station Avenue
Haddon Heights, NJ 08035-1636
Mailing address
714 Station Avenue
Haddon Heights, NJ 08035-1636
Phone (856) 546-8686
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1529706 | Medicaid | NJ |
Other providers in Haddon Heights, NJ
- Bucks County Cardiothoracic Surgery, P.C.
- C a Martina Podiatry Associates PA
- Camden County Foot & Ankle Associates LLC
- Camden County Foot and Ankle Associates LLC
- Eileen F Campbell
- Cardiovascular Associates of the Delaware Valley,P a
- Tracy Ellen Carpenter
- Ralph G Cataldo
- David Allen Cheetham
- Brian Cherrington
All providers in Haddon Heights, NJ · Optometrist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.