NPIMap

Organization Active NPI

Omni Eye Specialists P a

Doing business as Omni Eye Services

  • Ophthalmology Physician
  • Iselin, NJ
National Provider Identifier
1376593863
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
OMNI EYE SPECIALISTS P A
Doing business as
Omni Eye Services
Practice address
485 Route 1 South
BLDG a
Iselin, NJ 08830
Phone
(732) 750-0400
Fax
(732) 750-1507
NPI assigned
May 12, 2006
Last updated
May 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Christopher J. Quinn, ODNPI 1710976949
Title
President
Phone
(732) 750-0400

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

485 Route 1 South
BLDG a
Iselin, NJ 08830

Mailing address

485 Route 1 South
BLDG a
Iselin, NJ 08830
Phone (732) 750-0400

Other identifiers 1

IdentifierTypeStateIssuer
OM0WF54610OtherNYMEDICARE

Other names 1

  • Omni Eye Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040430000950 NJ Part B Supplier - Clinic/Group Practice 0547150062 Receives reassigned benefits from 60 practitioners
Practice locations: Mount Laurel, NJ; Parsippany, NJ; Rochelle Park, NJ; Sewell, NJ; Sparta, NJ; Succasunna, NJ; Turnersville, NJ; Union City, NJ…
O20181119002786 PA Part B Supplier - Clinic/Group Practice 0547150062 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2344270Omni Eye Services485 Route 1 South, Iselin, NJ 08830Certificate of waiverMay 19, 2028

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1000 Atlantic Ave
Ste 109
Camden, NJ 08104
Phone (856) 365-1500

1800 Chapel Ave W
Ste 100
Cherry Hill, NJ 08002
Phone (856) 910-9983

1820 Chapel Ave W
Ste 100
Cherry Hill, NJ 08002

2200 Route 10
Ste 102
Parsippany, NJ 07054
Phone (973) 538-7400

1 Wilson Dr
Sparta, NJ 07871
Phone (929) 260-0026

2201 Bergenline Ave
Ste 3
Union City, NJ 07087
Phone (973) 666-2193

50 Cooper Ave
Staten Island, NY 10305
Phone (718) 979-2020

Practitioners & affiliated clinicians

Practitioners 107

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 107

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1376593863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 ROUTE 1 SOUTH",
            "address_2": "BLDG A",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "08830",
            "telephone_number": "732-750-0400",
            "fax_number": "732-750-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 ROUTE 1 SOUTH",
            "address_2": "BLDG A",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "08830",
            "telephone_number": "732-750-0400",
            "fax_number": "732-750-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI EYE SPECIALISTS P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-750-0400",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "OM0WF54610",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omni Eye Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Iselin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.