Active NPI
Christine T. Clancey, O.D.
- Optometrist
- Haddonfield, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OAOO5658
- Practice address
- 101 Kings Hwy W
Haddonfield, NJ 08033-2126 - Phone
- (856) 429-3737
- Fax
- (859) 429-7030
- NPI assigned
- Sep 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OAOO5658 | NJ | Primary |
Addresses
Primary practice location
101 Kings Hwy W
Haddonfield, NJ 08033-2126
Mailing address
400 Kings Hwy E
Haddonfield, NJ 08033-1207
Phone (856) 429-4447
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 |
|---|---|---|---|---|
| I20050805000042 | NJ | Practitioner - Optometry | 6305875840 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eye Centers of America LLC
Practice addresses (Care Compare)
1255 Broad St
Suite 104
Bloomfield, NJ 07003-3061
Phone (973) 707-5632
89 N Maple Ave
Suite 5
Ridgewood, NJ 07450-3235
Phone (201) 445-1991
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.55 of 100
- Quality
- 87.54
- Improvement activities
- 40
- Cost
- 48.44
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OAOO5658 | NJ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyecare Physicians & Surgeons of NJ | Current | Accepting new patients | |
| Eye Centers of America, LLC | Current | Accepting new patients |
Locations
225 N Route 73
Berlin, NJ 08009
Phone (609) 767-9101
1255 Broad St
Ste 104
Bloomfield, NJ 07003
Phone (973) 707-5632
5 Juliustown Rd
Browns Mills, NJ 08015
Phone (609) 893-7575
73 S Main St
#F
Medford, NJ 08055
73 S Main St
Medford, NJ 08055
Phone (609) 654-6140
1 Corporate Dr
Wayne, NJ 07470
Phone (973) 987-3380
Interoperability endpoints
- christineclanceyeyecareofnewjersey@epsnj.direct.eyemdemr.com
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124120100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 KINGS HWY E",
"city": "HADDONFIELD",
"state": "NJ",
"postal_code": "080331207",
"telephone_number": "856-429-4447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 KINGS HWY W",
"city": "HADDONFIELD",
"state": "NJ",
"postal_code": "080332126",
"telephone_number": "856-429-3737",
"fax_number": "859-429-7030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLANCEY",
"first_name": "CHRISTINE",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "OAOO5658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Haddonfield, 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.