Individual provider Active NPI

Krystal Worthington, O.D.

  • Optometrist
  • Freehold, NJ
National Provider Identifier
1235515941
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00662200 Issued in NJ
Practice address
509 Stillwells Corner Rd
Suite E5
Freehold, NJ 07728-2965
Phone
(732) 431-9333
NPI assigned
Aug 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00662200 NJ Primary
Corneal and Contact Management Optometrist 152WC0802X 27OA00662200 NJ

Addresses

Primary practice location

509 Stillwells Corner Rd
Suite E5
Freehold, NJ 07728-2965

Mailing address

509 Stillwells Corner Rd
Suite E5
Freehold, NJ 07728-2965
Phone (732) 431-9333

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
I20150918001913 NJ Practitioner - Optometry 1951618255 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Centers of America LLCGroup PAC ID 7315125184, 127 clinicians
New GW LLCGroup PAC ID 3476812561, 6 clinicians
Freehold Ophthalmology LLCGroup PAC ID 9335105691, 12 clinicians

Practice addresses (Care Compare)

1255 Broad St
Suite 104
Bloomfield, NJ 07003-3061
Phone (973) 707-5632

385 Route 18
Suite H
East Brunswick, NJ 08816-5703
Phone (732) 698-9300

4 Ethel Rd
Suite 403a
Edison, NJ 08817-2841
Phone (732) 767-1850

509 Stillwells Corner Rd
Freehold, NJ 07728-2965
Phone (732) 431-9333

886 Commons Way
BLDG H
Toms River, NJ 08755-6430
Phone (732) 698-9300

89 N Maple Ave
Suite 5
Ridgewood, NJ 07450-3235
Phone (201) 445-1991

Merit-based Incentive Payment System (MIPS)

Final score
79.97 of 100Reported as group
Quality
87.94
Improvement activities
40
Cost
49.32

Merit-based Incentive Payment System (MIPS)

Final score
82.81 of 100Reported as group
Quality
88.7
Improvement activities
40
Cost
57.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Freehold Ophthalmology, LLC CurrentSince Aug 10, 2015 Accepting new patients
Eye Centers of America, LLC CurrentSince Dec 15, 2025 Accepting new patients
New GW LLC CurrentSince Jan 1, 2018 Accepting new patients

Locations

108 Broughton Ave
Bloomfield, NJ 07003
Phone (973) 743-1331

1255 Broad St
Ste 104
Bloomfield, NJ 07003
Phone (973) 707-5632

202 Jack Martin Blvd
Unit C4
Brick, NJ 08724
Phone (732) 458-5700

385 State Route 18
Ste C
East Brunswick, NJ 08816
Phone (732) 390-1883

385 State Route 18
Ste H
East Brunswick, NJ 08816
Phone (732) 698-9300

4 Ethel Rd
Ste 403A
Edison, NJ 08817
Phone (732) 767-1850

509 Stillwells Corner Rd
Freehold, NJ 07728
Phone (732) 431-4800

509 Stillwells Corner Rd
Ste E5
Freehold, NJ 07728
Phone (732) 409-6440

705 Candlewood Cmns
Unit 705
Howell, NJ 07731
Phone (732) 431-9333

357 US Highway 9
Manalapan, NJ 07726
Phone (732) 641-3364

104 Market St
Perth Amboy, NJ 08861
Phone (732) 826-5159

20 Hospital Dr
Ste 6
Toms River, NJ 08755
Phone (732) 349-7167

886 Commons Way
Bldg H
Toms River, NJ 08755
Phone (732) 341-9696

886 Commons Way
Ste H
Toms River, NJ 08755

20 Hospital Dr
Toms River, NJ 08755
Phone (732) 286-6644

886 Commons Way
Toms River, NJ 08755
Phone (732) 341-9696

Interoperability endpoints

  • Direct secure messaging: kworthington@gwd.intellechartdirect.net

Organizations & group practices 3

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": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1235515941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 STILLWELLS CORNER RD",
            "address_2": "SUITE E5",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282965",
            "telephone_number": "732-431-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 STILLWELLS CORNER RD",
            "address_2": "SUITE E5",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282965",
            "telephone_number": "732-431-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTHINGTON",
        "first_name": "KRYSTAL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00662200",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NJ",
            "license": "27OA00662200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.