NPIMap

Organization Active NPI

Eye Physicians PC

  • Ophthalmology Physician
  • Voorhees, NJ
National Provider Identifier
1063459931
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE PHYSICIANS PC
Practice address
1140 White Horse Rd
Suite 1
Voorhees, NJ 08043-2106
Phone
(856) 784-3366
Fax
(856) 784-4388
NPI assigned
Jun 1, 2006
Last updated
Mar 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
John D Dugan Jr., M.D.NPI 1699717553
Title
President
Phone
(856) 784-3366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

1140 White Horse Rd
Suite 1
Voorhees, NJ 08043-2106

Mailing address

1140 White Horse Rd
Suite 1
Voorhees, NJ 08043-2106
Phone (856) 784-3366

Other identifiers 1

IdentifierTypeStateIssuer
2703106MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040121000598 NJ Part B Supplier - Clinic/Group Practice 8224930201 Receives reassigned benefits from 14 practitioners
Practice locations: Voorhees, NJ; Sewell, NJ
O20040421000404 PA Part B Supplier - Clinic/Group Practice 8224930201 Receives reassigned benefits from 5 practitioners
Practice locations: Voorhees, NJ
O20100930065703 NJ DME Supplier - Physician - Ophthalmology 8224930201 1 other NPI on this enrollment
Practice locations: Voorhees, NJ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Eye Physicians PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3001 Chapel Ave W
Ste 200
Cherry Hill, NJ 08002
Phone (856) 667-3937

389 Ganttown Rd
Ste G
Sewell, NJ 08080
Phone (856) 589-4545

1140 White Horse Rd
Ste 1
Voorhees, NJ 08043
Phone (856) 784-3366

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1063459931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 WHITE HORSE RD",
            "address_2": "SUITE 1",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432106",
            "telephone_number": "856-784-3366",
            "fax_number": "856-784-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 WHITE HORSE RD",
            "address_2": "SUITE 1",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432106",
            "telephone_number": "856-784-3366",
            "fax_number": "856-784-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "DUGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-784-3366",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2703106",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.