Individual provider Active NPI

Dale Meelheim

  • Optometrist
  • Galloway, NJ
National Provider Identifier
1316778897
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00736000 Issued in NJ
Practice address
4 E Jimmie Leeds Rd Ste 2
Galloway, NJ 08205-4465
Phone
(609) 652-6100
NPI assigned
Aug 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00736000 NJ Primary

Addresses

Primary practice location

4 E Jimmie Leeds Rd Ste 2
Galloway, NJ 08205-4465

Mailing address

4807 Atlantic Ave
Ventnor City, NJ 08406-3055

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
I20250618003609 NJ Practitioner - Optometry 9234649724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David J Smith MD PAGroup PAC ID 8426111899, 3 clinicians

Practice addresses (Care Compare)

4807 Atlantic Ave
Suite 1
Ventnor City, NJ 08406-3055
Phone (609) 823-8488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00736000NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
David J Smith MD PA CurrentSince Aug 1, 2025 Accepting new patients

Locations

4 E Jimmie Leeds Rd
Ste 2
Galloway, NJ 08205
Phone (609) 652-6100

4807 Atlantic Ave
Ste 1
Ventnor City, NJ 08406
Phone (609) 823-8488

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": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1316778897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 ATLANTIC AVE",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084063055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 E JIMMIE LEEDS RD STE 2",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054465",
            "telephone_number": "609-652-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEELHEIM",
        "first_name": "DALE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-08",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00736000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

Verify at the official NPI Registry.