Individual provider Active NPI

Eric Gates, O.D.

  • Optometrist
  • Sicklerville, NJ
National Provider Identifier
1164689857
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5395 Issued in NJ
Practice address
707 Liberty PL
Sicklerville, NJ 08081-5715
Phone
(856) 875-0022
NPI assigned
May 20, 2008
Last updated
May 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5395 NJ Primary

Addresses

Primary practice location

707 Liberty PL
Sicklerville, NJ 08081-5715

Mailing address

206 N Main Rd
Vineland, NJ 08360-8201
Phone (856) 691-0720

Other practice location 1

1477 Blackwood Clementon Rd
Clementon, NJ 08021-5729
Phone (856) 228-7225

Other practice location 2

206 N Main Rd
Vineland, NJ 08360-8201
Phone (856) 691-0720

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
I20040109000127 NJ Practitioner - Optometry 3072410513 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Eye Group LLCGroup PAC ID 3375593536, 4 clinicians

Practice addresses (Care Compare)

206 N Main Rd
Vineland, NJ 08360-8201
Phone (856) 691-0720

707 Liberty PL
Sicklerville, NJ 08081-5715
Phone (856) 875-0022

Merit-based Incentive Payment System (MIPS)

Final score
87.77 of 100Reported as group
Quality
75.54
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5395NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Eye Group LLC Optometrist CurrentSince Jan 1, 2021 Accepting new patients
Elite Eye Group, LLC Optometrist CurrentSince Apr 5, 2022 Accepting new patients
Excelcare Alliance, LLC CurrentSince Aug 1, 2022 Accepting new patients
Elite Eyecare Associates, PC Optometrist PastSince Apr 5, 2022 Accepting new patients
Dendrinos Medical Associates, P.a. Past Accepting new patients

Locations

707 Liberty Pl
Sicklerville, NJ 08081
Phone (856) 875-0022

2020 E Chestnut Ave
Vineland, NJ 08361
Phone (856) 563-1600

206 N Main Rd
Vineland, NJ 08360
Phone (856) 691-0720

2815 E Chestnut Ave
Vineland, NJ 08361
Phone (856) 691-3145

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12810/brand/1/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1164689857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N MAIN RD",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608201",
            "telephone_number": "856-691-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 LIBERTY PL",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080815715",
            "telephone_number": "856-875-0022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1477 Blackwood Clementon Rd",
            "address_purpose": "LOCATION",
            "city": "Clementon",
            "state": "NJ",
            "postal_code": "080215729",
            "country_code": "US",
            "telephone_number": "856-228-7225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 N Main Rd",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083608201",
            "country_code": "US",
            "telephone_number": "856-691-0720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GATES",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "5395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sicklerville, NJ

Sources for this page

Verify at the official NPI Registry.