Individual provider Active NPI

Marina Gordeyeva, O.D.

  • Optometrist
  • Vineland, NJ
National Provider Identifier
1104238740
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00652500 Issued in NJ
Practice address
206 N Main Rd
Vineland, NJ 08360-8201
Phone
(856) 691-0720
NPI assigned
Jun 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00652500 NJ Primary

Addresses

Primary practice location

206 N Main Rd
Vineland, NJ 08360-8201

Mailing address

206 N Main Rd # a
Vineland, NJ 08360-8201
Phone (856) 691-0720

Other practice location 1

907 N Main Rd
Vineland, NJ 08360-8200
Phone (856) 691-0720

Other names 1

  • Marina Drozd Gordeyeva Professional 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
I20140902000237 NJ Practitioner - Optometry 9931327145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Eye Group LLCGroup PAC ID 3375593536, 4 clinicians

Practice addresses (Care Compare)

206 N Main Rd
Vineland, NJ 08360-8201
Phone (856) 691-0720

Merit-based Incentive Payment System (MIPS)

Final score
89.39 of 100Reported as individual
Quality
78.78
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care, Inc. CurrentSince Feb 22, 2017 Accepting new patients
Community Health Care, Inc. Optometrist CurrentSince Feb 22, 2017 Accepting new patients
Advanced Eye Group LLC Optometrist CurrentSince Sep 1, 2014 Accepting new patients

Locations

30 N Pearl St
Bridgeton, NJ 08302

335 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720

206 N Main Rd
#A
Vineland, NJ 08360

206 N Main Rd
Vineland, NJ 08360
Phone (856) 691-0720

907 N Main Rd
Vineland, NJ 08360
Phone (856) 691-0720

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.

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1104238740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N MAIN RD # A",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608201",
            "telephone_number": "856-691-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N MAIN RD",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608201",
            "telephone_number": "856-691-0720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "907 N Main Rd",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083608200",
            "country_code": "US",
            "telephone_number": "856-691-0720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDEYEVA",
        "first_name": "MARINA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00652500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARINA",
            "last_name": "DROZD GORDEYEVA",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.