Cooper River Eye Associates

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00591800 Issued in NJ

Legal business name

COOPER RIVER EYE ASSOCIATES

Practice address

6981 N Park Dr
Suite 101
Pennsauken, NJ 08109-4205

Phone

(856) 488-4404

Fax

(856) 488-5207

NPI assigned

Apr 29, 2009

Last updated

Sep 5, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Arun Kumar Kaistha, O.D.NPI 1659460012

Title

Optometrist

Phone

(856) 488-4404

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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.

• Arun K Kaistha, O.D.

  • Optometrist
  • Hammonton, NJ
  • NPI 1659460012
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1063656338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6981 N PARK DR",
            "address_2": "SUITE 101",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081094205",
            "telephone_number": "856-488-4404",
            "fax_number": "856-488-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6981 N PARK DR",
            "address_2": "SUITE 101",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081094205",
            "telephone_number": "856-488-4404",
            "fax_number": "856-488-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER RIVER EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "KAISTHA",
        "authorized_official_first_name": "ARUN",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "856-488-4404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00591800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Concepcion, LPN
• John T Connelly Jr., PH.D.LPC.LRC
• Russell Cook Jr.
• Cooper Care LLC
• Cooper House Women's Recovery Program
• Cooper River Garden Group LLC (River Front Rehabilitation & Healthcare Center)
• Reagan E Copeland, LCSW
• Lois A Corbi, PT
• Michael Patrick Cornely, D.C.
• Amanda Cortes

• Optometrist in Pennsauken, NJ
• Providers in Pennsauken, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.