Active NPI
Moorestown Eye Associates
- Optometrist
- Moorestown, NJ
National Provider Identifier
1194771634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MOORESTOWN EYE ASSOCIATES
- Practice address
- 301 N Church St
Ste 201
Moorestown, NJ 08057-2498 - Phone
- (856) 235-2620
- NPI assigned
- May 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Les Friedman, OD
- Title
- LLC Member
- Phone
- (856) 235-2620
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NJ | Primary |
Addresses
Primary practice location
301 N Church St
Ste 201
Moorestown, NJ 08057-2498
Mailing address
301 N Church St
Ste 201
Moorestown, NJ 08057-2498
Phone (856) 235-2620
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0415179000 | Other | NJ | AMERIHEALTH ADMINISTRATOR |
| 960912 | Other | NJ | AMERIHEALTH PERSONAL CHOI |
| 0415179000 | Other | NJ | KEYSTONE |
| 0415179000 | Other | NJ | AMERIHEALTH HMO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2090523 | Moorestown Eye Associates LLC | Certificate of waiver | Jan 25, 2027 |
National Provider Directory
National Provider DirectoryLocations
301 N Church St
Ste 201
Moorestown, NJ 08057
Phone (856) 235-2620
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Cherry Hill, NJ
- NPI 1568511921
-
- Optometrist
- Moorestown, NJ
- NPI 1760481949
-
- Optometrist
- Trenton, NJ
- NPI 1184325318
-
- Optometrist
- Freehold, NJ
- NPI 1619309374
-
- Optometrist
- Mercerville, NJ
- NPI 1487748497
-
- Optometrist
- Moorestown, NJ
- NPI 1235177445
-
- Optometrist
- Cherry Hill, NJ
- NPI 1093495558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1194771634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 N CHURCH ST",
"address_2": "STE 201",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080572498",
"telephone_number": "856-235-2620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 N CHURCH ST",
"address_2": "STE 201",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080572498",
"telephone_number": "856-235-2620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOORESTOWN EYE ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-26",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "FRIEDMAN",
"authorized_official_first_name": "LES",
"authorized_official_title_or_position": "LLC MEMBER",
"authorized_official_telephone_number": "856-235-2620",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH ADMINISTRATOR",
"identifier": "0415179000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH PERSONAL CHOI",
"identifier": "960912",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "0415179000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH HMO",
"identifier": "0415179000",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moorestown, NJ
- Jessica Moore, RD
- Kelly Moore, PSY.D
- Moorestown Dental Associates, LLC
- Moorestown Dental Professionals, P.C.
- Moorestown Dermatology Associates PA
- Moorestown Family Practice, P.C.
- Moorestown First Aid and Emergency Squad, Inc.
- Moorestown Integrative Wellness Inc.
- Moorestown Internal Medicine, P.C.
- Moorestown Operator LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.