Organization Active NPI

Hammonton Eyecare LLC

  • Optometrist
  • Hammonton, NJ
National Provider Identifier
1083949242
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
270A00591800 Issued in NJ
Legal business name
HAMMONTON EYECARE LLC
Practice address
80 S White Horse Pike
Hammonton, NJ 08037-1862
Phone
(609) 567-7479
Fax
(609) 567-0515
NPI assigned
Oct 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Ms. Helen Knox
Title
Member
Phone
(609) 567-7479

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 270A00591800 NJ Primary

Addresses

Primary practice location

80 S White Horse Pike
Hammonton, NJ 08037-1862

Mailing address

80 S White Horse Pike
Hammonton, NJ 08037-1862
Phone (609) 567-7479

Other names 1

  • Hammonton Family Eyecare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100521000300 NJ Part B Supplier - Clinic/Group Practice 1557490075 Receives reassigned benefits from 1 practitioner
Practice locations: Hammonton, NJ

National Provider Directory

National Provider Directory

Locations

120 S White Horse Pike
Ste B2
Hammonton, NJ 08037
Phone (609) 567-0997

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1083949242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 S WHITE HORSE PIKE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371862",
            "telephone_number": "609-567-7479",
            "fax_number": "609-567-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 S WHITE HORSE PIKE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371862",
            "telephone_number": "609-567-7479",
            "fax_number": "609-567-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMMONTON EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "609-567-7479",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00591800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hammonton Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hammonton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.