Individual provider Active NPI

Sheena Marie Latorre, O.D.

  • Optometrist
  • Burlington, NJ
National Provider Identifier
1376876722
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00621200 Issued in NJ
Practice address
4423 130 South
Burlington, NJ 08016
Phone
(609) 387-3800
NPI assigned
Sep 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00621200 NJ Primary

Addresses

Primary practice location

4423 130 South
Burlington, NJ 08016

Mailing address

4423 US Highway130
Burlington, NJ 08016
Phone (609) 387-3800

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
I20110606000024 NJ Practitioner - Optometry 1951588797 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optic One IncGroup PAC ID 5799140554, 3 clinicians
Robert D. Levy PCGroup PAC ID 2466445432, 8 clinicians

Practice addresses (Care Compare)

2401 Route 130 S
Cinnaminson, NJ 08077-3020
Phone (856) 786-1616

4423 Route 130 S
Burlington, NJ 08016-2385

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00621200NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert D. Levy PC Optometrist CurrentSince Mar 5, 2011 Accepting new patients
Optic One Inc Optometrist CurrentSince Apr 1, 2023 Accepting new patients

Locations

4423 Route 130 S
Burlington, NJ 08016
Phone (609) 386-0202

2401 Route 130 S
Cinnaminson, NJ 08077
Phone (856) 786-1616

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1376876722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 US HIGHWAY130",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "08016",
            "telephone_number": "609-387-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 130 SOUTH",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "08016",
            "telephone_number": "609-387-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATORRE",
        "first_name": "SHEENA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-16",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00621200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NJ

Sources for this page

Verify at the official NPI Registry.