Individual provider Active NPI

Erica Enarusai, OD

  • Optometrist
  • Collingswood, NJ
National Provider Identifier
1124861505
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00740000 Issued in NJ
Practice address
571 Haddon Ave
Collingswood, NJ 08108-1445
Phone
(856) 858-3937
Fax
(856) 425-2571
NPI assigned
Jun 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG004165 PA
Optometrist 152W00000X 27OA00740000 NJ Primary

Addresses

Primary practice location

571 Haddon Ave
Collingswood, NJ 08108-1445

Mailing address

571 Haddon Ave
Collingswood, NJ 08108-1445
Phone (856) 688-9093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240625002259 PA Practitioner - Optometry 7416490974
I20251120002021 NJ Practitioner - Optometry 7416490974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Eye Associates LLCGroup PAC ID 2961624358, 6 clinicians

Practice addresses (Care Compare)

571 Haddon Ave
Collingswood, NJ 08108-1445
Phone (856) 858-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00740000NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Eye Associates, LLC Optometrist CurrentSince Nov 24, 2025 Accepting new patients
Richard L Jahnle MD PC Optometrist CurrentSince Jun 14, 2024 Accepting new patients
Domenick Braccia D.O. PastSince Jun 14, 2024 Accepting new patients

Locations

571 Haddon Ave
Haddon Township, NJ 08108

2010 W Chester Pike
Havertown, PA 19083
Phone (610) 446-2260

2010 W Chester Pike
Ste 310
Havertown, PA 19083
Phone (610) 446-2260

1098 W Baltimore Pike
Ste 3407
Media, PA 19063
Phone (610) 566-7096

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": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1124861505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 HADDON AVE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081081445",
            "telephone_number": "856-688-9093",
            "fax_number": "856-425-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 HADDON AVE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081081445",
            "telephone_number": "856-858-3937",
            "fax_number": "856-425-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENARUSAI",
        "first_name": "ERICA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-14",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG004165",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00740000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collingswood, NJ

Sources for this page

Verify at the official NPI Registry.