Adam Hayes Gardner, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00549400 Issued in NJ

Practice address

185 Broadway
Hillsdale, NJ 07642-2054

Phone

(201) 666-0230

Fax

(201) 772-1111

NPI assigned

Mar 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hillsdale Vision Center, PC

  • Optometrist
  • Hillsdale, NJ
  • NPI 1609421148
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1346365020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 BROADWAY",
            "city": "HILLSDALE",
            "state": "NJ",
            "postal_code": "076422054",
            "telephone_number": "201-666-0230",
            "fax_number": "201-722-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 BROADWAY",
            "city": "HILLSDALE",
            "state": "NJ",
            "postal_code": "076422054",
            "telephone_number": "201-666-0230",
            "fax_number": "201-772-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "ADAM",
        "middle_name": "HAYES",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "005860",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00549400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "NY5860",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeannette M Flanagan, LCSW, CPAS, CTTS
• Kristin Flynn
• Fordham-Lewis Consulting, LLC
• Faith J Frieden, MD
• Breelyn Ganin, M.S., CCC-SLP
• Monica Samy Girges
• Megan C Griffin, OTR/L
• Marc Edward Guzman
• Hearts & Crafts Counseling
• Gary Steven Herring, M.D.

• Optometrist in Hillsdale, NJ
• Providers in Hillsdale, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.