NPIMap

Organization Active NPI

Charles M Cummins OD PA

  • Eyewear Supplier
  • Lakewood, NJ
National Provider Identifier
1346207644
Registry record updated Aug 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
CHARLES M CUMMINS OD PA
Practice address
1900 Route 70
Suite 216
Lakewood, NJ 08701-7324
Phone
(732) 864-0755
Fax
(732) 458-1908
NPI assigned
Apr 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2013

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

Authorized official

Name
Charles M. Cummins, O.D.NPI 1396702296
Title
Owner
Phone
(973) 338-8886

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
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1900 Route 70
Suite 216
Lakewood, NJ 08701-7324

Mailing address

PO Box 846338
Dallas, TX 75284-6338
Phone (210) 524-6663

Other identifiers 1

IdentifierTypeStateIssuer
5257603MedicaidNJ

Other names 1

  • Visionworks Doctors of Optometry Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930084953 NJ DME Supplier - Physician - Optometrist 0446246995 Practice locations: Brick, NJ

National Provider Directory

National Provider Directory
Tax ID family
Charles M Cummins OD PA30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

Locations

175 E Houston St
Bldg 1
San Antonio, TX 78205

Practitioners & affiliated clinicians

Practitioners 3

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": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1346207644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846338",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752846338",
            "telephone_number": "210-524-6663",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 ROUTE 70",
            "address_2": "SUITE 216",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087017324",
            "telephone_number": "732-864-0755",
            "fax_number": "732-458-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES M CUMMINS OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "CUMMINS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-338-8886",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5257603",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visionworks Doctors of Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.