Individual provider Active NPI

Peter James Perno Jr., O.D.

  • Optometrist
  • Mercerville, NJ
National Provider Identifier
1326499914
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00674000 Issued in NJ
Practice address
395 Route 33
Mercerville, NJ 08619-4401
Phone
(609) 586-0273
NPI assigned
Jun 25, 2016
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODTG00631 RI
Optometrist 152W00000X 27OA00674000 NJ Primary

Addresses

Primary practice location

395 Route 33
Mercerville, NJ 08619-4401

Mailing address

395 Route 33
Mercerville, NJ 08619-4401
Phone (609) 586-0273

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
I20171016000513 NJ Practitioner - Optometry 4486929676 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advocare, LLCGroup PAC ID 3678562188, 383 clinicians

Practice addresses (Care Compare)

100 Brick Rd
Suite 115
Marlton, NJ 08053-2146
Phone (856) 983-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00674000NJMDOptometrist
ODTG00631RIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark W Beyer LLC CurrentSince May 1, 2021 Accepting new patients
Advocare, LLC CurrentSince Aug 14, 2017 Accepting new patients
Advocare , LLC CurrentSince Aug 14, 2017 Accepting new patients

Locations

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

1613 Route 38
Lumberton, NJ 08048
Phone (609) 261-3716

100 Brick Rd
Ste 115
Marlton, NJ 08053
Phone (856) 983-1400

498 Monmouth Rd
Millstone Township, NJ 08510
Phone (609) 259-2221

395 Route 33
Trenton, NJ 08619
Phone (609) 586-0273

Interoperability endpoints

  • Direct secure messaging: pperno@beyereye.direct.eyemdemr.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1466812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1326499914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 ROUTE 33",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086194401",
            "telephone_number": "609-586-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 ROUTE 33",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086194401",
            "telephone_number": "609-586-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERNO",
        "first_name": "PETER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-25",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00631",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00674000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercerville, NJ

Sources for this page

Verify at the official NPI Registry.