Eagle Eyecare LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00664100 Issued in NJ

Legal business name

EAGLE EYECARE LLC

Practice address

163 Route 73 S
Marlton, NJ 08053-4120

Phone

(856) 985-1300

Fax

(856) 985-1346

NPI assigned

Aug 1, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Haley Parikh, ODNPI 1487062253

Title

Optometrist

Phone

(856) 985-1300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Haley Parikh, OD

  • Optometrist
  • Marlton, NJ
  • NPI 1487062253
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1083192033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 ROUTE 73 S",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534120",
            "telephone_number": "224-216-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 ROUTE 73 S",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534120",
            "telephone_number": "856-985-1300",
            "fax_number": "856-985-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-01",
        "last_updated": "2023-11-28",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "PARIKH",
        "authorized_official_first_name": "HALEY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "856-985-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00664100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Durboraw, PT
• Lynn N. Durmala, APN
• Kelly Durso
• Gary Steven Dworkin, DMD
• Jennifer Dyas, APN
• Eagle Optical LLC
• Early Achievements LLC
• Eastern Dental of Marlton, LLC
• Stephanie P Eastman, MSW, LCSW
• Eat Well, Live Better LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.