Individual provider Active NPI

Susan M Freed-Gilvey, OD

  • Optometrist
  • Hackettstown, NJ
National Provider Identifier
1093730178
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
270A00543000 Issued in NJ
Practice address
171 Mountain Ave
Hackettstown, NJ 07840-2418
Phone
(908) 852-6623
Fax
(908) 852-2334
NPI assigned
Jul 12, 2006
Last updated
Feb 23, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 270A00543000 NJ Primary
Corneal and Contact Management Optometrist 152WC0802X 27OA00543000 NJ
Pediatric Optometrist 152WP0200X 27OA00543000 NJ

Addresses

Primary practice location

171 Mountain Ave
Hackettstown, NJ 07840-2418

Mailing address

171 Mountain Ave
Hackettstown, NJ 07840-2418
Phone (908) 852-6623

Other identifiers 2

IdentifierTypeStateIssuer
7593503MedicaidNJ
223342537OtherNJTAX ID

Other names 1

  • Susan Freed Former name

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
I20050804000016 NJ Practitioner - Optometry 5890723480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KZS Eye Care PCGroup PAC ID 0648790436, 3 clinicians

Practice addresses (Care Compare)

1465 Route 31 S
Suite 22
Annandale, NJ 08801-3131
Phone (908) 730-6774

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
270A00543000NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
KZS Eye Care PC Optometrist CurrentSince Feb 13, 2025 Accepting new patients
Harold S Lappin MD PA Past Accepting new patients
Hunterdon Medical Center Past Accepting new patients
Eye and Laser Surgery Centers of New Jersey LLC Past Accepting new patients

Locations

1465 Route 31 S
Ste 22
Annandale, NJ 08801
Phone (908) 730-6774

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1093730178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 MOUNTAIN AVE",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402418",
            "telephone_number": "908-852-6623",
            "fax_number": "908-852-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 MOUNTAIN AVE",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402418",
            "telephone_number": "908-852-6623",
            "fax_number": "908-852-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREED-GILVEY",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00543000",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NJ",
            "license": "27OA00543000",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NJ",
            "license": "27OA00543000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7593503",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "223342537",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "FREED",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hackettstown, NJ

Sources for this page

Verify at the official NPI Registry.