Organization Active NPI

Cross Keys Family Eyecare Limited Liability Corporation

  • Corneal and Contact Management Optometrist
  • Hammonton, NJ
National Provider Identifier
1316037385
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
27OA00593800 Issued in NJ
Legal business name
CROSS KEYS FAMILY EYECARE LIMITED LIABILITY CORPORATION
Practice address
35 Centennial Dr
Hammonton, NJ 08037-2113
Phone
(609) 481-6510
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jill Jennifer Rodio-Vivadelli, O.D.
Title
Optometrist
Phone
(609) 481-6510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X 27OA00593800 NJ Primary

Addresses

Primary practice location

35 Centennial Dr
Hammonton, NJ 08037-2113

Mailing address

35 Centennial Dr
Hammonton, NJ 08037-2113

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316037385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CENTENNIAL DR",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080372113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CENTENNIAL DR",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080372113",
            "telephone_number": "609-481-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS KEYS FAMILY EYECARE LIMITED LIABILITY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODIO-VIVADELLI",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "JENNIFER",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "609-481-6510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NJ",
            "license": "27OA00593800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammonton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.