Haddon Family Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00558400 Issued in NJ

Legal business name

HADDON FAMILY EYE CARE, LLC

Practice address

105 White Horse Pike
Haddon Heights, NJ 08035-1909

Phone

(856) 547-1339

Fax

(856) 546-8136

NPI assigned

Oct 3, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Paul Kossis, O.D.NPI 1194892455

Title

Owner

Phone

(856) 547-1339

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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

• Paul Kossis, O.D.

  • Optometrist
  • Haddon Heights, NJ
  • NPI 1194892455
  Medicare reassignment NPD Authorized official
• William Stephen Schmidt, O.D.

  • Optometrist
  • Bensalem, PA
  • NPI 1487793717
  NPD (past)

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1285918722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WHITE HORSE PIKE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351909",
            "telephone_number": "856-547-1339",
            "fax_number": "856-546-8136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WHITE HORSE PIKE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351909",
            "telephone_number": "856-547-1339",
            "fax_number": "856-546-8136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HADDON FAMILY EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-03",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "KOSSIS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-547-1339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00558400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016725080004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7849303",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Ellen Gray, APN-C
• Lawrence Edward Greenawald, M.D.
• Beth M Greenwood, MD
• Jennifer Griffith
• Catherine Guariglia, MD
• Haddon Heights EMS, Inc
• Haddon Heights LV Dental, LLC
• Haddon Heights School District
• Haddon Spot LLC
• Haddon Surgical Assoc PA

• Optometrist in Haddon Heights, NJ
• Providers in Haddon Heights, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.