Montgomery Eye Care, P.a.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

27OA00529800 Issued in NJ

Legal business name

MONTGOMERY EYE CARE, P.A.

Practice address

1325 Route 206
Suite 24
Skillman, NJ 08558-1922

Phone

(609) 279-0005

Fax

(609) 279-0004

NPI assigned

Jan 7, 2010

Last updated

Apr 7, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mary Ellen Boname, O.D.NPI 1932132024

Title

Optometric Physician/President

Phone

(609) 279-0005

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Ellen Boname, O.D.

  • Corneal and Contact Management Optometrist
  • Skillman, NJ
  • NPI 1932132024
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1093045437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 ROUTE 206",
            "address_2": "SUITE 24",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "085581922",
            "telephone_number": "609-279-0005",
            "fax_number": "609-279-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 ROUTE 206",
            "address_2": "SUITE 24",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "085581922",
            "telephone_number": "609-279-0005",
            "fax_number": "609-279-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY EYE CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-07",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "BONAME",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OPTOMETRIC PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "609-279-0005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NJ",
            "license": "27OA00529800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (GROUP)",
            "identifier": "1093045437",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (INDIVIDUAL)",
            "identifier": "1932132024",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lin Meng, DMD
• Kristen Lynn Meyer, M.S., CCC-SLP
• Peter Andrew Miller, LCSW
• Rhonda Jenks Molesphini, BA, IBCLC
• Monte Nido New Jersey LLC
• Montgomery Orthodontics, P.a.
• Montgomery Physical Therapy LLC
• Montgomery Township Board of Ed
• Mountain View Orthodontics, LLC
• Sulayman Mughal

• Health Service Clinic/Center in Skillman, NJ
• Providers in Skillman, NJ by specialty
• Health Service Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.