Eye Physicians PC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

MA58014 Issued in NJ

Legal business name

EYE PHYSICIANS PC

Practice address

1140 White Horse Rd
Suite 1
Voorhees, NJ 08043-2106

Phone

(856) 784-3366

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

John D. Dugan Jr., MD

Title

Manager

Phone

(856) 784-3366

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• John D. Dugan Jr. Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Eye Physicians PC

  • Ophthalmology Physician
  • Voorhees, NJ
  • NPI 1063459931

  O20100930065703

  Same enrollment

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1093937542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 WHITE HORSE RD",
            "address_2": "SUITE 1",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432106",
            "telephone_number": "856-784-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 WHITE HORSE RD",
            "address_2": "SUITE 1",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432106",
            "telephone_number": "856-784-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "DUGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "856-784-3366",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NJ",
            "license": "MA58014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6860508",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John D. Dugan Jr.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Evoy, BCBA
• Danielle Kristen Ewashko, DPT
• Executive Center for Psychological Medicine
• Exel-Med Inc
• Eye Physicians PC
• Susan Ezzi, ANP
• Carolyn Elizabeth Fabian, RN, CRNP
• Katie Facchinei, OT
• Florence Fadare
• Jonathan Val C. Fagel, D.O.

• Eyewear Supplier in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Eyewear Supplier in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.