Active NPI
Donald Dean-Rusk Guerrier, O.D
- Optometrist
- Newark, NJ
National Provider Identifier
1093934465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA005529
- Practice address
- 677 Mt. Prospect Ave
Newark, NJ 07104 - Phone
- (973) 350-8224
- NPI assigned
- Apr 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA005529 | NJ | Primary |
| Optometrist | 152W00000X | VUT005719 | NY |
Addresses
Primary practice location
677 Mt. Prospect Ave
Newark, NJ 07104
Mailing address
11 Lincoln PL Apt J
North Brunswick, NJ 08902-4034
Phone (732) 658-3382
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09107919 | Medicaid | NY | |
| 7508603 | Medicaid | NJ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031222000630 | NJ | Practitioner - Optometry | 6204734734 | Practice locations: Ocean, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2361 State Route 66
Ocean, NJ 07712-3961
Phone 73248100211
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27OA005529 | NJ | MD | Optometrist |
| VUT005719 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optical Group LTD | Past | Accepting new patients | |
| Gail M Blumenthal OD PA | Optometrist | Past | Accepting new patients |
| Clear Vision Optical, Inc. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Eyewear Supplier
- Newark, NJ
- NPI 1740483502
-
- Optometrist
- Englewood, NJ
- NPI 1154591352
-
- Optician
- Newark, NJ
- NPI 1043340862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093934465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 LINCOLN PL APT J",
"city": "NORTH BRUNSWICK",
"state": "NJ",
"postal_code": "089024034",
"telephone_number": "732-658-3382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "677 MT. PROSPECT AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "07104",
"telephone_number": "973-350-8224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRIER",
"first_name": "DONALD",
"middle_name": "DEAN-RUSK",
"name_prefix": "Dr.",
"credential": "O.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA005529",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "VUT005719",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09107919",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7508603",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.