Individual provider Active NPI

Carrie Blake Strauss - Kislin, O.D.

  • Optometrist
  • Springfield, NJ
National Provider Identifier
1225134950
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV 006802 Issued in NY
Practice address
155 Morris Ave
Ste 302
Springfield, NJ 07081-1224
Phone
(973) 232-6900
Fax
(973) 232-6911
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV 006802 NY Primary

Addresses

Primary practice location

155 Morris Ave
Ste 302
Springfield, NJ 07081-1224

Mailing address

155 Morris Ave
Ste 302
Springfield, NJ 07081-1224
Phone (973) 232-6900

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
I20110808000143 NJ Practitioner - Optometry 8628035524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Corey M. Notis, M.D., P.a.Group PAC ID 1456365154, 12 clinicians

Practice addresses (Care Compare)

155 Morris Ave
Suite 302
Springfield, NJ 07081-1224
Phone (973) 232-6900

Merit-based Incentive Payment System (MIPS)

Final score
92.09 of 100Reported as group
Quality
97
Improvement activities
40
Cost
77.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV 006802NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Corey M. Notis, M.D., P.a. Optometrist CurrentSince Jul 1, 2011 Accepting new patients
Corey M. Notis, M.D., P.a. Optometrist CurrentSince Jul 1, 2011 Accepting new patients

Locations

155 Morris Ave
Ste 302
Springfield, NJ 07081
Phone (973) 232-6900

900 Stuyvesant Ave
Union, NJ 07083
Phone (908) 686-9330

Interoperability endpoints

  • Direct secure messaging: ckislin@associneyecare.direct.eyemdemr.com

Organizations & group practices 2

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1225134950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MORRIS AVE",
            "address_2": "STE 302",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811224",
            "telephone_number": "973-232-6900",
            "fax_number": "973-232-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MORRIS AVE",
            "address_2": "STE 302",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811224",
            "telephone_number": "973-232-6900",
            "fax_number": "973-232-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUSS - KISLIN",
        "first_name": "CARRIE",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV 006802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

Verify at the official NPI Registry.