Organization Active NPI

Nelson Eye Associates, P.C.

  • Optometrist
  • West Berlin, NJ
National Provider Identifier
1336384148
Registry record updated Dec 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OAO0004802 Issued in NJ
Legal business name
NELSON EYE ASSOCIATES, P.C.
Practice address
185 N Route 73
West Berlin, NJ 08091-9208
Phone
(856) 767-5033
NPI assigned
Dec 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2008

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

Authorized official

Name
Dr. Marc NelsonNPI 1295715241
Title
President
Phone
(856) 767-5033

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OAO0004802 NJ Primary

Addresses

Primary practice location

185 N Route 73
West Berlin, NJ 08091-9208

Mailing address

185 N Route 73
West Berlin, NJ 08091-9208
Phone (856) 767-5033

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121012000310 NJ Part B Supplier - Clinic/Group Practice 4082863717 Receives reassigned benefits from 1 practitioner
Practice locations: West Berlin, NJ

National Provider Directory

National Provider Directory

Locations

2001 College Dr
Ste 11
Clementon, NJ 08021
Phone (856) 566-3333

185 N Route 73
West Berlin, NJ 08091
Phone (856) 767-5030

Practitioners & affiliated clinicians

Practitioners 2

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": "1228694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228694400000",
    "number": "1336384148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 N ROUTE 73",
            "city": "WEST BERLIN",
            "state": "NJ",
            "postal_code": "080919208",
            "telephone_number": "856-767-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 N ROUTE 73",
            "city": "WEST BERLIN",
            "state": "NJ",
            "postal_code": "080919208",
            "telephone_number": "856-767-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON EYE ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-08",
        "last_updated": "2008-12-08",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-767-5033",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OAO0004802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Berlin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; 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.