Brigantine Eye Care Center

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MB54894 Issued in NJ

Legal business name

BRIGANTINE EYE CARE CENTER

Practice address

4274 Harbour Beach Blvd
Brigantine, NJ 08203-1362

Phone

(609) 266-8000

Fax

(609) 266-9555

NPI assigned

Oct 25, 2006

Last updated

Jul 2, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eugene Dimarco, DO

Title

Physician/Owner

Phone

(609) 266-8000

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth C Heist, D.O.

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1730269481
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278028800000",
    "number": "1245315969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4274 HARBOUR BEACH BLVD",
            "city": "BRIGANTINE",
            "state": "NJ",
            "postal_code": "082031362",
            "telephone_number": "609-266-8000",
            "fax_number": "609-266-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4274 HARBOUR BEACH BLVD",
            "city": "BRIGANTINE",
            "state": "NJ",
            "postal_code": "082031362",
            "telephone_number": "609-266-8000",
            "fax_number": "609-266-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGANTINE EYE CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2010-07-02",
        "status": "A",
        "authorized_official_last_name": "DIMARCO",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "609-266-8000",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MB54894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PPO",
            "identifier": "032310",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5491207",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "042383",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO",
            "identifier": "0443917000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Atwater Inc
• Back to Function Home Physical Therapy LLC
• Becker Nutrition LLC
• Michael E Becker, RD
• Board of Education City of Brigantine
• Brigantine Medical Group PA
• Brigantine Physical Therapy and Fitness LLC
• Caduceus Medical Services LLC
• Michael Anthony Caromano, PA-C
• Harry L Chaikin, MD

• Ophthalmology Physician in Brigantine, NJ
• Providers in Brigantine, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; 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.