Individual provider Active NPI

Susan Przetak-Case, O.D.

  • Corneal and Contact Management Optometrist
  • Towaco, NJ
National Provider Identifier
1366493512
Registry record updated Apr 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
27OA00485600 Issued in NJ
Practice address
440 Main Rd
Towaco, NJ 07082-1288
Phone
(973) 316-2626
Fax
(973) 316-3066
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 27OA00485600 NJ Primary

Addresses

Primary practice location

440 Main Rd
Towaco, NJ 07082-1288

Mailing address

17 Kristen CT
Towaco, NJ 07082-1053
Phone (973) 257-0649

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
I20101217000017 NJ Practitioner - Optometry 3173711181 Practice locations: Towaco, NJ

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

440 Route 202
Towaco, NJ 07082-1053
Phone (973) 316-2626

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00485600NJMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Przetak-Case, O.D. P.a. PastSince May 1, 2001 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334620800000",
    "number": "1366493512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 KRISTEN CT",
            "city": "TOWACO",
            "state": "NJ",
            "postal_code": "070821053",
            "telephone_number": "973-257-0649",
            "fax_number": "973-257-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 MAIN RD",
            "city": "TOWACO",
            "state": "NJ",
            "postal_code": "070821288",
            "telephone_number": "973-316-2626",
            "fax_number": "973-316-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRZETAK-CASE",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2012-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NJ",
            "license": "27OA00485600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towaco, NJ

Sources for this page

Verify at the official NPI Registry.