Individual provider Active NPI

Christine T. Clancey, O.D.

  • Optometrist
  • Haddonfield, NJ
National Provider Identifier
1124120100
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OAOO5658 Issued in NJ
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 7315125184, 127 clinicians

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 100Reported as group
Quality
87.54
Improvement activities
40
Cost
48.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OAOO5658NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Physicians & Surgeons of NJ CurrentSince Jul 15, 2013 Accepting new patients
Eye Centers of America, LLC CurrentSince Jun 9, 2025 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

  • Direct secure messaging: 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

Verify at the official NPI Registry.