Individual provider Active NPI

Charles H Fitzpatrick, O.D.

  • Optometrist
  • Cherry Hill, NJ
National Provider Identifier
1265437560
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA000419000 Issued in NJ
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

Updated by the provider on Dec 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0062208000OtherAMERIHEALTH
1110718OtherCIGNA
079056OtherPA BLUE SHIEL
34954OtherAETNA
P2042310OtherOXFORD HEALTH PLANS
1K5332OtherHEALTHNET OF NJ
81092OtherCOVENTRY HEALTHCARE
1821425OtherUNITED HEALTHCARE
CF0C527510OtherWELLCHOICE

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
I20091116000214 NJ Practitioner - Optometry 4688712425 Reassigns benefits to 1 organization

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
Eyexam Associates PAGroup PAC ID 2062550809, 2 clinicians

Practice addresses (Care Compare)

2432 Route 38
Cherry Hill, NJ 08002-1238
Phone (856) 482-2933

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA000419000NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyexam Associates PA Optometrist CurrentSince Feb 8, 1990 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.

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

Verify at the official NPI Registry.