Individual provider Active NPI

Amy G Sheffield, O.D.

  • Optometrist
  • Delran, NJ
National Provider Identifier
1366519548
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NJ5065 Issued in NJ
Practice address
1330 Fairview Blvd
Ste a
Delran, NJ 08075-1472
Phone
(856) 829-5212
Fax
(856) 829-1105
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NJ5065 NJ Primary

Addresses

Primary practice location

1330 Fairview Blvd
Ste a
Delran, NJ 08075-1472

Mailing address

11 Pheasant Dr
Mount Laurel, NJ 08054-5302
Phone (856) 222-4850

Other identifiers 10

IdentifierTypeStateIssuer
631823OtherNJAMERIHEALTH ADMINISTRATOR
631823OtherNJOPTICHOICE
0461777000OtherNJAMERIHEALTH
NJ5065OtherNJEYE MED
223131493OtherNJHORIZON BLUE CROSS SHIELD
37063OtherNJDAVIS VISION
311132OtherNJNVA
11530OtherNJSPECTERA
17155OtherNJAETNA
P3058212OtherNJOXFORD

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
I20081107000489 NJ Practitioner - Optometry 3870652639 Practice locations: Delran, NJ

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1330 Fairview Blvd
Suite a
Delran, NJ 08075-1472

1330 Fairview Blvd a
Delran, NJ 08075-1472
Phone (856) 786-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5065NJMDForensic Psychologist
NJ5065NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Amy G Sheffield, O.D. Optometrist PastSince Dec 6, 1990 Accepting new patients
For Eyes Optical Co, Inc Optometrist Past Accepting new patients

Organizations & group practices 2

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1366519548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PHEASANT DR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080545302",
            "telephone_number": "856-222-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 FAIRVIEW BLVD",
            "address_2": "STE A",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080751472",
            "telephone_number": "856-829-5212",
            "fax_number": "856-829-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEFFIELD",
        "first_name": "AMY",
        "middle_name": "G",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "NJ5065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH ADMINISTRATOR",
            "identifier": "631823",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICHOICE",
            "identifier": "631823",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0461777000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE MED",
            "identifier": "NJ5065",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BLUE CROSS SHIELD",
            "identifier": "223131493",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "37063",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVA",
            "identifier": "311132",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "11530",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "17155",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3058212",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delran, NJ

Sources for this page

Verify at the official NPI Registry.