Individual provider Active NPI

Hedy Leibowitz, O.D.

  • Optometrist
  • Brick, NJ
National Provider Identifier
1265435713
Registry record updated Nov 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
270A00542500 Issued in NJ
Practice address
359 Brick Blvd
Brick, NJ 08723-6010
Phone
(732) 920-1330
Fax
(732) 920-1370
NPI assigned
May 28, 2005
Last updated
Nov 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 270A00542500 NJ Primary

Addresses

Primary practice location

359 Brick Blvd
Brick, NJ 08723-6010

Mailing address

PO Box 208944
Dallas, TX 75320-8944
Phone (636) 200-4393

Other practice location 1

51 Brewster Cir
Old Bridge, NJ 08857-3612
Phone (732) 918-8075

Other practice location 2

178 Highway 35
Eatontown, NJ 07724-1883
Phone (732) 542-3050

Other practice location 3

3013 Highway 35
Hazlet, NJ 07730-1526
Phone (732) 739-4000

Other practice location 4

1001 Route 70 Unit B1
Manchester, NJ 08759-5804
Phone (732) 657-1400

Other practice location 5

786 Highway 35
Middletown, NJ 07748-3410
Phone (732) 671-7300

Other practice location 6

35 Monmouth St
Red Bank, NJ 07701-1613
Phone (732) 530-5151

Other practice location 7

2204 Highway 35 Ste 9
Sea Girt, NJ 08750-2323
Phone (732) 223-2800

Other identifiers 1

IdentifierTypeStateIssuer
7472501MedicaidNJ

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
I20050817000033 NJ Practitioner - Optometry 4587694815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

786 Hwy 35
Middletown, NJ 07748-3410
Phone (732) 671-7300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
270A00542500NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optometric Physicians of Middletown PA Optometrist CurrentSince Aug 1, 2013 Accepting new patients
Optometric Physicians of Middletown PA Optometrist CurrentSince Aug 1, 2013 Accepting new patients
Optometric Physicians of Middletown PA Optometrist Past Accepting new patients

Locations

359 Brick Blvd
Brick, NJ 08723
Phone (732) 920-1330

178 Highway 35
Eatontown, NJ 07724
Phone (732) 475-7535

178 Highway 35
Ste 1
Eatontown, NJ 07724
Phone (732) 542-3050

3013 State Route 35
Hazlet, NJ 07730
Phone (732) 739-4000

1001 Route 70
Unit B1
Manchester, NJ 08759
Phone (732) 657-1400

1021 Route 70
Manchester, NJ 08759
Phone (732) 657-1400

786 State Route 35
Middletown, NJ 07748
Phone (732) 671-7300

35 Monmouth St
Red Bank, NJ 07701
Phone (732) 530-5151

2204 Highway 35
Ste 9
Sea Girt, NJ 08750
Phone (732) 223-2800

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, 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": "1117238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668816000000",
    "number": "1265435713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208944",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753208944",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 BRICK BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236010",
            "telephone_number": "732-920-1330",
            "fax_number": "732-920-1370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 Brewster Cir",
            "address_purpose": "LOCATION",
            "city": "Old Bridge",
            "state": "NJ",
            "postal_code": "088573612",
            "country_code": "US",
            "telephone_number": "732-918-8075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "178 Highway 35",
            "address_purpose": "LOCATION",
            "city": "Eatontown",
            "state": "NJ",
            "postal_code": "077241883",
            "country_code": "US",
            "telephone_number": "732-542-3050",
            "fax_number": "732-542-5999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3013 Highway 35",
            "address_purpose": "LOCATION",
            "city": "Hazlet",
            "state": "NJ",
            "postal_code": "077301526",
            "country_code": "US",
            "telephone_number": "732-739-4000",
            "fax_number": "732-739-4002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Route 70 Unit B1",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NJ",
            "postal_code": "087595804",
            "country_code": "US",
            "telephone_number": "732-657-1400",
            "fax_number": "732-657-1402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "786 Highway 35",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NJ",
            "postal_code": "077483410",
            "country_code": "US",
            "telephone_number": "732-671-7300",
            "fax_number": "732-706-1605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Monmouth St",
            "address_purpose": "LOCATION",
            "city": "Red Bank",
            "state": "NJ",
            "postal_code": "077011613",
            "country_code": "US",
            "telephone_number": "732-530-5151",
            "fax_number": "732-842-6629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2204 Highway 35 Ste 9",
            "address_purpose": "LOCATION",
            "city": "Sea Girt",
            "state": "NJ",
            "postal_code": "087502323",
            "country_code": "US",
            "telephone_number": "732-223-2800",
            "fax_number": "732-223-5121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEIBOWITZ",
        "first_name": "HEDY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-28",
        "last_updated": "2022-11-19",
        "certification_date": "2022-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00542500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7472501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.