Organization Active NPI

Meltzer Eye Care Center PA

  • Durable Medical Equipment & Medical Supplies
  • Iselin, NJ
National Provider Identifier
1275719130
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
270A00441500 Issued in NJ
Legal business name
MELTZER EYE CARE CENTER PA
Practice address
675 Route 1 S
Suite 13
Iselin, NJ 08830-3152
Phone
(732) 636-7444
Fax
(732) 636-5472
NPI assigned
Jan 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Authorized official

Name
Dr. Daniel S Meltzer, O.D.NPI 1508927690
Title
Owner/President
Phone
(732) 636-7444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Durable Medical Equipment & Medical Supplies 332B00000X 270A00441500 NJ Primary

Addresses

Primary practice location

675 Route 1 S
Suite 13
Iselin, NJ 08830-3152

Mailing address

675 US Highway 1 S
Suite 13
Iselin, NJ 08830-3152
Phone (732) 636-7444

Other identifiers 1

IdentifierTypeStateIssuer
2925401MedicaidNJ

Other names 1

  • Meltzer Eye Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110311000401 NJ Part B Supplier - Clinic/Group Practice 1355461740 Receives reassigned benefits from 1 practitioner
Practice locations: Iselin, NJ

National Provider Directory

National Provider Directory

Locations

675 US Highway 1 S
Ste 13
Iselin, NJ 08830
Phone (732) 636-7444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1275719130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 US HIGHWAY 1 S",
            "address_2": "SUITE 13",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088303152",
            "telephone_number": "732-636-7444",
            "fax_number": "732-636-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 ROUTE 1 S",
            "address_2": "SUITE 13",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088303152",
            "telephone_number": "732-636-7444",
            "fax_number": "732-636-5472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELTZER EYE CARE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "MELTZER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "732-636-7444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "270A00441500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2925401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meltzer Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Iselin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.