Delran Eye Associates LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DELRAN EYE ASSOCIATES LLC

Practice address

2910 Route 130
Delran, NJ 08075-2522

Phone

(856) 461-0987

NPI assigned

Jun 5, 2018

Last updated

Nov 28, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura YoungNPI 1528407178

Title

OD

Phone

(856) 461-0987

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Young, O.D.

  • Optometrist
  • Delran, NJ
  • NPI 1528407178
  Medicare reassignment Care Compare group NPD Authorized official
• Ami Dinesh Patel, O.D.

  • Optometrist
  • Woodbury, NJ
  • NPI 1861551608
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543363200000",
    "number": "1144712167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 ROUTE 130",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080752522",
            "telephone_number": "856-461-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 ROUTE 130",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080752522",
            "telephone_number": "856-461-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELRAN EYE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-11-28",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "856-461-0987"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Veronica Davis
• Michael Day
• Rebecca L Delisi, PT, DPT
• Delran Dental & Specialty Group, LLC (Brighter Dental Care (Delran))
• Delran Emergency Squad
• Delran Family Practice
• Delran Internal Medicine LLC
• Delran Pharmacy
• Delran Township School District
• Destiny Supportive Services

• Optometrist in Delran, NJ
• Providers in Delran, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.