Organization Active NPI

Mobile Eye Professionals

  • Optometrist
  • Hamilton Square, NJ
National Provider Identifier
1174551907
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
270A00556300 Issued in NJ
Legal business name
MOBILE EYE PROFESSIONALS
Practice address
1777 Kuser Rd
Hamilton Square, NJ 08690-3703
Phone
(609) 581-5755
Fax
(609) 581-7055
NPI assigned
Jun 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

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

Authorized official

Name
Mrs. Lisa M Macarthur
Title
Office Manager
Phone
(609) 581-5755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 270A00556300 NJ Primary

Addresses

Primary practice location

1777 Kuser Rd
Hamilton Square, NJ 08690-3703

Mailing address

1777 Kuser Rd
Hamilton Square, NJ 08690-3703
Phone (609) 581-5755

Other identifiers 1

IdentifierTypeStateIssuer
8480109MedicaidNJ

National Provider Directory

National Provider Directory

Locations

1777 Kuser Rd
Trenton, NJ 08690
Phone (609) 581-5755

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1174551907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 KUSER RD",
            "city": "HAMILTON SQUARE",
            "state": "NJ",
            "postal_code": "086903703",
            "telephone_number": "609-581-5755",
            "fax_number": "609-581-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 KUSER RD",
            "city": "HAMILTON SQUARE",
            "state": "NJ",
            "postal_code": "086903703",
            "telephone_number": "609-581-5755",
            "fax_number": "609-581-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE EYE PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "MACARTHUR",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "609-581-5755",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00556300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8480109",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton Square, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; 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.