Individual provider Active NPI

Nazmul Hasan, O.D.

  • Optometrist
  • Burlington, NJ
National Provider Identifier
1093001117
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00631100 Issued in NJ
Practice address
2106 Burlington Mount Holly Rd
Walmart Vision Center
Burlington, NJ 08016-4158
Phone
(732) 331-8005
NPI assigned
Jun 27, 2011
Last updated
Jun 27, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00631100 NJ Primary

Addresses

Primary practice location

2106 Burlington Mount Holly Rd
Walmart Vision Center
Burlington, NJ 08016-4158

Mailing address

2106 Burlington Mount Holly Rd
Walmart Vision Center
Burlington, NJ 08016-4158
Phone (732) 331-8005

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
I20210713001417 NJ Practitioner - Optometry 4082016019 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Charles M Cummins, OD, PA Optometrist CurrentSince Jun 10, 2021 Accepting new patients
Charles M. Cummins, OD., PA Optometrist CurrentSince Jun 10, 2021 Accepting new patients

Locations

1255 Broad St
Bloomfield, NJ 07003
Phone (973) 338-7575

588 Route 70
Ste 9
Brick, NJ 08723
Phone (732) 864-0755

818 Haddonfield Rd
Cherry Hill, NJ 08002
Phone (856) 662-2740

1907 Deptford Center Rd
Ste 8
Deptford, NJ 08096
Phone (856) 232-5492

748 Route 73 S
Ste C
Marlton, NJ 08053
Phone (856) 296-5925

1040 Nixon Dr
Mount Laurel, NJ 08054
Phone (856) 778-0936

475 Nassau Park Blvd
Princeton, NJ 08540
Phone (609) 243-8902

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309132800000",
    "number": "1093001117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 BURLINGTON MOUNT HOLLY RD",
            "address_2": "WALMART VISION CENTER",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164158",
            "telephone_number": "732-331-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 BURLINGTON MOUNT HOLLY RD",
            "address_2": "WALMART VISION CENTER",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164158",
            "telephone_number": "732-331-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASAN",
        "first_name": "NAZMUL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00631100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NJ

Sources for this page

Verify at the official NPI Registry.