Active NPI
Michael Lawrence Meltzer, O.D.
- Optometrist
- Voorhees, NJ
National Provider Identifier
1255421202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4279
- Practice address
- 26 Brookwood Drive
Voorhees, NJ 08043-4757 - Phone
- (856) 566-1808
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4279 | NJ | Primary |
Addresses
Primary practice location
26 Brookwood Drive
Voorhees, NJ 08043-4757
Mailing address
26 Brookwood Dr
Voorhees, NJ 08043-4757
Phone (856) 555-1808
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4279 | NJ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manahawkin Vision Inc. | Optometrist | Current | Accepting new patients |
Locations
733 Route 72 W
Manahawkin, NJ 08050
Phone (609) 597-0250
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255421202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 BROOKWOOD DR",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080434757",
"telephone_number": "856-555-1808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 BROOKWOOD DRIVE",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080434757",
"telephone_number": "856-566-1808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELTZER",
"first_name": "MICHAEL",
"middle_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "4279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Voorhees, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.