Organization Active NPI

Campus Eye Group, LLC

  • Customized Equipment (DME)
  • Hamilton Square, NJ
National Provider Identifier
1063699254
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
27OA00412200 Issued in NJ
Legal business name
CAMPUS EYE GROUP, LLC
Practice address
1700 Whitehorse Hamilton Square Rd
Suite A1
Hamilton Square, NJ 08690-3536
Phone
(609) 587-2020
Fax
(609) 588-9545
NPI assigned
Jan 30, 2008
Last updated
Mar 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Authorized official

Name
Maureen L Voss
Title
Insurance/Billing Specialist
Phone
(609) 587-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 27OA00412200 NJ Primary

Addresses

Primary practice location

1700 Whitehorse Hamilton Square Rd
Suite A1
Hamilton Square, NJ 08690-3536

Mailing address

1700 Whitehorse Hamilton Square Rd
Suite A1
Hamilton Square, NJ 08690-3536
Phone (609) 587-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930007445 NJ DME Supplier - Physician - Optometrist 4789702077 Practice locations: Trenton, NJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1063699254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WHITEHORSE HAMILTON SQUARE RD",
            "address_2": "SUITE A1",
            "city": "HAMILTON SQUARE",
            "state": "NJ",
            "postal_code": "086903536",
            "telephone_number": "609-587-2020",
            "fax_number": "609-588-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WHITEHORSE HAMILTON SQUARE RD",
            "address_2": "SUITE A1",
            "city": "HAMILTON SQUARE",
            "state": "NJ",
            "postal_code": "086903536",
            "telephone_number": "609-587-2020",
            "fax_number": "609-588-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPUS EYE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "VOSS",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "INSURANCE/BILLING SPECIALIST",
        "authorized_official_telephone_number": "609-587-2020"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NJ",
            "license": "27OA00412200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton Square, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.