NPIMap

Individual provider Active NPI

Brian R Hall, OD

  • Optometrist
  • Eatontown, NJ
National Provider Identifier
1093706327
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
006772 Issued in NY
Practice address
300 Highway 35 Ste 200
Eatontown, NJ 07724-2216
Phone
(732) 222-7373
NPI assigned
Nov 4, 2005
Last updated
Apr 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 006772 NY Primary
Optometrist 152W00000X 0618001505 VA

Addresses

Primary practice location

300 Highway 35 Ste 200
Eatontown, NJ 07724-2216

Mailing address

300 Highway 35 Ste 200
Eatontown, NJ 07724-2216
Phone (732) 222-7373

Other identifiers 1

IdentifierTypeStateIssuer
VUT 006772OtherNYOPTOMETRY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150601001960 NJ Practitioner - Optometry 2163448192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Eye Physicians, PAGroup PAC ID 5193774081, 12 clinicians

Practice addresses (Care Compare)

180 White Rd
Suite 202
Little Silver, NJ 07739-1166
Phone (732) 219-9220

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.01 of 100Reported as group
Quality
95.44
Promoting interoperability
100
Improvement activities
40
Cost
44.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Eye Physicians, PA CurrentSince Apr 1, 2015 Accepting new patients
Dr. James V. Cornetta LTD Optometrist PastSince Dec 21, 1998 Accepting new patients

Locations

300 Highway 35
Eatontown, NJ 07724
Phone (732) 219-9220

300 Highway 35
Ste 200
Eatontown, NJ 07724
Phone (732) 222-7373

100 Commons Way
Ste 230
Holmdel, NJ 07733
Phone (732) 222-7373

180 White Rd
Ste 202
Little Silver, NJ 07739
Phone (732) 219-9220

279 3rd Ave
Ste 204
Long Branch, NJ 07740
Phone (732) 222-7373

1963 State Route 34
Ste 101
Wall Township, NJ 07719
Phone (732) 222-7373

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1093706327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HIGHWAY 35 STE 200",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242216",
            "telephone_number": "732-222-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HIGHWAY 35 STE 200",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242216",
            "telephone_number": "732-222-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "BRIAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "006772",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001505",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "VUT 006772",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

Verify at the official NPI Registry.