Individual provider Active NPI

Janelle Tertullien-McDonald

  • Optometrist
  • Passaic, NJ
National Provider Identifier
1235547126
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00653800 Issued in NJ
Practice address
177 Prospect St
Passaic, NJ 07055-5150
Phone
(973) 777-4343
NPI assigned
Jul 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00653800 NJ Primary

Addresses

Primary practice location

177 Prospect St
Passaic, NJ 07055-5150

Mailing address

31 Scarlet Dr
Parlin, NJ 08859-2505

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
I20150225002114 NJ Practitioner - Optometry 4688990294 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Invision Eyecare SpecialistsGroup PAC ID 1759622475, 6 clinicians

Practice addresses (Care Compare)

1 Hwy 70
Lakewood, NJ 08701-5895
Phone 7329055600217

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00653800NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Invision Eyecare Specialists Optometrist CurrentSince Feb 17, 2025 Accepting new patients
Hudson Eyecare Associates PA Optometrist Past Accepting new patients

Locations

1 State Route 70
Lakewood, NJ 08701
Phone (732) 905-5600

Interoperability endpoints

  • Direct secure messaging: jmcdonald@invisioneyecare.emadirect.md

Organizations & group practices 4

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": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1235547126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SCARLET DR",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088592505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 PROSPECT ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555150",
            "telephone_number": "973-777-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERTULLIEN-MCDONALD",
        "first_name": "JANELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00653800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

Verify at the official NPI Registry.