Individual provider Active NPI

Brett James Prate, O.D.

  • Optometrist
  • Laurel Springs, NJ
National Provider Identifier
1376985481
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00648600 Issued in NJ
Practice address
1405 Chews Landig Rd
Laurel Springs, NJ 08021
Phone
(856) 228-1171
Fax
(856) 228-1545
NPI assigned
Jul 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 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 27OA00648600 NJ Primary

Addresses

Primary practice location

1405 Chews Landig Rd
Laurel Springs, NJ 08021

Mailing address

1405 Chews Landig Rd
Laurel Springs, NJ 08021
Phone (856) 228-1171

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
I20160623000058 NJ Practitioner - Optometry 3971822610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James a Prate LLCGroup PAC ID 2365732021, 2 clinicians

Practice addresses (Care Compare)

1405 Chews Landing Rd
Laurel Springs, NJ 08021-2769
Phone (856) 228-1171

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00648600NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
James a Prate LLC CurrentSince Jun 1, 2016 Accepting new patients

Locations

1405 Chews Landing Rd
Ste 5
Laurel Springs, NJ 08021
Phone (856) 228-1171

1405 Chews Landing Rd
Lindenwold, NJ 08021
Phone (856) 227-6575

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": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1376985481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 CHEWS LANDIG RD",
            "city": "LAUREL SPRINGS",
            "state": "NJ",
            "postal_code": "08021",
            "telephone_number": "856-228-1171",
            "fax_number": "856-228-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 CHEWS LANDIG RD",
            "city": "LAUREL SPRINGS",
            "state": "NJ",
            "postal_code": "08021",
            "telephone_number": "856-228-1171",
            "fax_number": "856-228-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATE",
        "first_name": "BRETT",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00648600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel Springs, NJ

Sources for this page

Verify at the official NPI Registry.