Active NPI
Joseph Lebovic, OD
- Optometrist
- Camden, NJ
National Provider Identifier
1083657936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00376900
- Practice address
- 2985 Yorkship SQ
Camden, NJ 08104-2800 - Phone
- (856) 964-2020
- Fax
- (856) 964-1060
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00376900 | NJ | Primary |
| Optometrist | 152W00000X | OE005265P | PA |
Addresses
Primary practice location
2985 Yorkship SQ
Camden, NJ 08104-2800
Mailing address
2985 Yorkship SQ
Camden, NJ 08104-2800
Phone (856) 964-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3897605 | Medicaid | NJ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Atlantic Ave
Camden, NJ 08104-1132
Phone (856) 365-1500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OE005265P | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tus Ojos Inc | Optometrist | Current | Accepting new patients |
Locations
1000 Atlantic Ave
Camden, NJ 08104
Phone (856) 246-3060
Organizations & group practices 1
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": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312243200000",
"number": "1083657936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2985 YORKSHIP SQ",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081042800",
"telephone_number": "856-964-2020",
"fax_number": "856-964-1060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2985 YORKSHIP SQ",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081042800",
"telephone_number": "856-964-2020",
"fax_number": "856-964-1060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBOVIC",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2011-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00376900",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OE005265P",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3897605",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.