Active NPI
Charles H Fitzpatrick, O.D.
- Optometrist
- Cherry Hill, NJ
National Provider Identifier
1265437560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA000419000
- Practice address
- 2432 Route 38
Cherry Hill, NJ 08002-1238 - Phone
- (856) 482-2933
- Fax
- (856) 482-2936
- NPI assigned
- Jun 15, 2005
- 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 | 27OA000419000 | NJ | Primary |
Addresses
Primary practice location
2432 Route 38
Cherry Hill, NJ 08002-1238
Mailing address
2432 Route 38
Cherry Hill, NJ 08002-1238
Phone (856) 482-2933
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0062208000 | Other | AMERIHEALTH | |
| 1110718 | Other | CIGNA | |
| 079056 | Other | PA BLUE SHIEL | |
| 34954 | Other | AETNA | |
| P2042310 | Other | OXFORD HEALTH PLANS | |
| 1K5332 | Other | HEALTHNET OF NJ | |
| 81092 | Other | COVENTRY HEALTHCARE | |
| 1821425 | Other | UNITED HEALTHCARE | |
| CF0C527510 | Other | WELLCHOICE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2432 Route 38
Cherry Hill, NJ 08002-1238
Phone (856) 482-2933
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27OA000419000 | NJ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyexam Associates PA | Optometrist | Current | Accepting new patients |
Locations
2432 Route 38
Cherry Hill, NJ 08002
Phone (856) 482-2933
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 and National Provider Directory roles.
-
- Optometrist
- Cherry Hill, NJ
- NPI 1760470405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323388800000",
"number": "1265437560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2432 ROUTE 38",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080021238",
"telephone_number": "856-482-2933",
"fax_number": "856-482-2936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2432 ROUTE 38",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080021238",
"telephone_number": "856-482-2933",
"fax_number": "856-482-2936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZPATRICK",
"first_name": "CHARLES",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-15",
"last_updated": "2011-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA000419000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0062208000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1110718",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA BLUE SHIEL",
"identifier": "079056",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "34954",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "P2042310",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET OF NJ",
"identifier": "1K5332",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY HEALTHCARE",
"identifier": "81092",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1821425",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCHOICE",
"identifier": "CF0C527510",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.