South Jersey Eye Associates PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SOUTH JERSEY EYE ASSOCIATES PA

Practice address

205 Laurel Heights Dr
Bridgeton, NJ 08302-3635

Phone

(856) 455-5500

Fax

(856) 455-5480

NPI assigned

Sep 20, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Robert M Cole III, OD

Title

President

Phone

(856) 455-5500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Russell Wayne Chappius III, OD

  • Optometrist
  • Bridgeton, NJ
  • NPI 1073124871
  Medicare reassignment Care Compare group NPD
• Brandon Jon Wuzzardo, OD

  • Optometrist
  • Bridgeton, NJ
  • NPI 1710310610
  Medicare reassignment Care Compare group NPD
• Samantha Ali Miletta, OD

  • Optometrist
  • Millville, NJ
  • NPI 1497597066
  NPD
• Vinal Patel, OD

  • Optometrist
  • Bedminster, NJ
  • NPI 1861903031
  NPD

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376438400000",
    "number": "1366438939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 LAUREL HEIGHTS DR",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083023635",
            "telephone_number": "856-455-5500",
            "fax_number": "856-455-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 LAUREL HEIGHTS DR",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083023635",
            "telephone_number": "856-455-5500",
            "fax_number": "856-455-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY EYE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2013-08-14",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-455-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2799707",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sleepcare Centers Inc.
• Stacey L Smick, PA
• Elvira K. Smith, MA, CSW
• South Cumberland Medical Associates PC
• South Jersey Drug Treatment Center
• South Jersey Hearing and Tinnitus, LLC
• Ashley Soyer
• Liliam Meredith Spieker
• Sprague Dialysis LLC
• David Lawrence Spuler, LMFT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.