Individual provider Active NPI

Charlene Balan Saint Clair, O.D.

  • Optometrist
  • Hillsborough, NJ
National Provider Identifier
1093148793
Registry record updated Jan 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00647000 Issued in NJ
Practice address
305 Omni Dr
Hillsborough, NJ 08844-4526
Phone
(908) 281-0800
NPI assigned
Aug 16, 2013
Last updated
Jan 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00647000 NJ Primary

Addresses

Primary practice location

305 Omni Dr
Hillsborough, NJ 08844-4526

Mailing address

305 Omni Dr
Hillsborough, NJ 08844-4526

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
I20140624001225 NJ Practitioner - Optometry 6901020452 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey L Morer OD PCGroup PAC ID 7719870807, 50 clinicians

Practice addresses (Care Compare)

103 Carnegie Ctr
Suite 300
Princeton, NJ 08540-6235
Phone (888) 964-6681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00647000NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Visionair Optometrist CurrentSince Jul 16, 2019 Accepting new patients
Jeffrey L. Morer, OD, PC Optometrist CurrentSince Oct 24, 2016 Accepting new patients
Herbert J Bell P a Optometrist CurrentSince Oct 3, 2014 Accepting new patients
Barbara J Tarbell, OD Optometrist PastSince Aug 5, 2014 Accepting new patients

Locations

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

888 Worcester St
Ste 130
Wellesley, MA 02482
Phone (857) 255-0293

1964 N Olden Avenue Ext
Ewing, NJ 08618
Phone (609) 883-4407

305 Omni Dr
Hillsborough, NJ 08844
Phone (610) 653-8849

103 Carnegie Ctr
Ste 300
Princeton, NJ 08540
Phone (609) 524-2514

Organizations & group practices 4

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": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420848000000",
    "number": "1093148793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 OMNI DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 OMNI DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444526",
            "telephone_number": "908-281-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAINT CLAIR",
        "first_name": "CHARLENE",
        "middle_name": "BALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-16",
        "last_updated": "2015-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00647000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

Verify at the official NPI Registry.