Individual provider Active NPI

Christopher E Zupsic, O.D.

  • Optometrist
  • Marlton, NJ
National Provider Identifier
1053497016
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00549101 Issued in NJ
Practice address
928 Greentree Square Route 73
Marlton, NJ 08053
Phone
(856) 596-8883
Fax
(856) 596-7874
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00549101 NJ Primary

Addresses

Primary practice location

928 Greentree Square Route 73
Marlton, NJ 08053

Mailing address

928 Greentree Square Route 73
Marlton, NJ 08053
Phone (856) 596-8883

Other names 1

  • Mr. Christopher E Zupsic Professional name

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
I20050727000282 NJ Practitioner - Optometry 1052349586 Reassigns benefits to 1 organization
Practice locations: Marlton, NJ

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

37 W Route 130 S
Burlington, NJ 08016-2440
Phone (609) 747-0070

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery50

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00549101NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Zupsic Eye Associates LLC Optometrist CurrentSince Aug 15, 2018 Accepting new patients
Myoptics 2000 Inc. Optometrist Current Accepting new patients
Vutt PastSince Aug 15, 2018 Accepting new patients

Locations

37 W Route 130 S
Burlington, NJ 08016
Phone (609) 747-0070

802 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 582-5550

928 Route 73 N
Marlton, NJ 08053
Phone (609) 596-8883

175 Route 70
Ste 23
Medford, NJ 08055
Phone (609) 953-8700

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1053497016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 GREENTREE SQUARE ROUTE 73",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-596-8883",
            "fax_number": "856-596-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 GREENTREE SQUARE ROUTE 73",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-596-8883",
            "fax_number": "856-596-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUPSIC",
        "first_name": "CHRISTOPHER",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00549101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTOPHER",
            "last_name": "ZUPSIC",
            "middle_name": "E",
            "prefix": "MR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.