Individual provider Active NPI

Nicole Mary Caldeira-Flanagan, O.D.

  • Optometrist
  • Toms River, NJ
National Provider Identifier
1043403355
Registry record updated Apr 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00611700 Issued in NJ
Practice address
20 Mule Rd
Toms River, NJ 08755-5028
Phone
(732) 349-5622
Fax
(732) 349-5625
NPI assigned
Aug 20, 2007
Last updated
Apr 28, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00611700 NJ Primary
Optometrist 152W00000X OEG001904 PA

Addresses

Primary practice location

20 Mule Rd
Toms River, NJ 08755-5028

Mailing address

20 Mule Rd
Toms River, NJ 08755-5028
Phone (732) 349-5622

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
I20080902000084 NJ Practitioner - Optometry 8729154505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shore Eye Associates PAGroup PAC ID 9133195126, 17 clinicians

Practice addresses (Care Compare)

530 Lakehurst Rd
Toms River, NJ 08755-8063
Phone (732) 341-4733

Merit-based Incentive Payment System (MIPS)

Final score
88.5 of 100Reported as group
Quality
86.47
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00611700NJMDOptometrist
OEG001904PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Eye Associates PA CurrentSince Jan 22, 2021 Accepting new patients
Shore Eye Associates PA CurrentSince Jan 22, 2021 Accepting new patients

Locations

770 Lighthouse Dr
Ste 156B
Barnegat, NJ 08005
Phone (609) 698-2020

20 Mule Rd
Toms River, NJ 08755
Phone (732) 349-5622

530 Lakehurst Rd
Ste 206
Toms River, NJ 08755
Phone (732) 341-4733

Organizations & group practices 2

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": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367107200000",
    "number": "1043403355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MULE RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555028",
            "telephone_number": "732-349-5622",
            "fax_number": "732-349-5625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MULE RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555028",
            "telephone_number": "732-349-5622",
            "fax_number": "732-349-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDEIRA-FLANAGAN",
        "first_name": "NICOLE",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2013-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00611700",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001904",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.