Individual provider Active NPI

David M. Talbot, OD

  • Optometrist
  • Toms River, NJ
National Provider Identifier
1083691992
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00542800 Issued in NJ
Practice address
1201 Hooper Ave
Ocean County Mall Space 1045-46
Toms River, NJ 08753-3330
Phone
(732) 240-2077
NPI assigned
Dec 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00542800 NJ Primary

Addresses

Primary practice location

1201 Hooper Ave
Ocean County Mall Space 1045-46
Toms River, NJ 08753-3330

Mailing address

1201 Hooper Ave
Ocean County Mall Space 1045-46
Toms River, NJ 08753-3330
Phone (732) 240-2077

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110210000485 NJ Practitioner - Optometry 0446430870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toms River Eye Associates, PCGroup PAC ID 7012968605, 3 clinicians

Practice addresses (Care Compare)

1201 Hooper Ave
SPC 10451046
Toms River, NJ 08753-3203
Phone (732) 240-2077

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00542800NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Toms River Eye Associates, PC Optometrist CurrentSince Oct 21, 1996 Accepting new patients
Toms River Eye Associates,P.C. Optometrist CurrentSince Oct 21, 1996 Accepting new patients

Locations

1201 Hooper Ave
Spc 10451046
Toms River, NJ 08753
Phone (732) 240-2077

1201 Hooper Ave
Toms River, NJ 08753
Phone (732) 240-4352

1201 Hooper Ave
Ste 1076A
Toms River, NJ 08753
Phone (732) 240-0666

1201 Hooper Ave
Spc 104546
Toms River, NJ 08753
Phone (732) 240-2077

3070 Bristol Pike
Ste 2-220
Bensalem, PA 19020
Phone 2144971001108

Interoperability endpoints

  • Direct secure messaging: david.talbot@direct.revolutionehr.com

Organizations & group practices 2

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": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1083691992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 HOOPER AVE",
            "address_2": "OCEAN COUNTY MALL SPACE 1045-46",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087533330",
            "telephone_number": "732-240-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 HOOPER AVE",
            "address_2": "OCEAN COUNTY MALL SPACE 1045-46",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087533330",
            "telephone_number": "732-240-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALBOT",
        "first_name": "DAVID",
        "middle_name": "M.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00542800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.