Individual provider Active NPI

Christopher T Olivia, M.D.

  • Ophthalmology Physician
  • Camden, NJ
National Provider Identifier
1164427241
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
24MA07196600 Issued in NJ
Practice address
3 Cooper PLZ
RM 510
Camden, NJ 08103-1438
Phone
(856) 342-7720
Fax
(856) 342-6620
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 24MA07196600 NJ Primary

Addresses

Primary practice location

3 Cooper PLZ
RM 510
Camden, NJ 08103-1438

Mailing address

30 Isabella Street
Suite 300
Pittsburgh, PA 15212
Phone (412) 330-2403

Other identifiers 1

IdentifierTypeStateIssuer
8890901MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24MA07196600NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians of Springfield, Inc Ophthalmology PastSince Oct 1, 2015 Accepting new patients
Soll Eye PC of NJ Ophthalmology Past Accepting new patients
Cooper Medical Supply PastSince Nov 1, 2005 Accepting new patients
West Penn Allegheny Health System Inc. PastSince Mar 18, 2008 Accepting new patients

Organizations & group practices 4

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292198400000",
    "number": "1164427241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 ISABELLA STREET",
            "address_2": "SUITE 300",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15212",
            "telephone_number": "412-330-2403",
            "fax_number": "412-330-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COOPER PLZ",
            "address_2": "RM 510",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031438",
            "telephone_number": "856-342-7720",
            "fax_number": "856-342-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVIA",
        "first_name": "CHRISTOPHER",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2010-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "24MA07196600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8890901",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.