Individual provider Active NPI

Michael Lawrence Meltzer, O.D.

  • Optometrist
  • Voorhees, NJ
National Provider Identifier
1255421202
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4279 Issued in NJ
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050803000037 NJ Practitioner - Optometry 0446288187 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4279NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Manahawkin Vision Inc. Optometrist CurrentSince Nov 21, 2012 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

Verify at the official NPI Registry.