Tristan Campbell Barrueco, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OM00156000 Issued in NJ

Practice address

2 Capital Way
Pennington, NJ 08534-2521

Phone

(609) 882-8833

NPI assigned

Jun 5, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, PA2 enrollments

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 2

Specialty

Optometry

Education

State University of New York - State College Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associated Retinal Consultants LLCGroup PAC ID 2961509161, 115 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.52 of 100Reported as group

Quality

95.9

Promoting interoperability

100

Improvement activities

40

Cost

75.81

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Associated Retinal Consultants LLC

  • Ophthalmology Physician
  • Newark, DE
  • NPI 1164578894

  NJ, Optometrist, PA

  Medicare reassignment Care Compare group NPD
• Associated Retinal Consultants LLC

  • Durable Medical Equipment & Medical Supplies
  • Englishtown, NJ
  • NPI 1295477404

  Optometrist

  NPD

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1396237335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CAPITAL WAY STE 326",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342521",
            "telephone_number": "609-882-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CAPITAL WAY",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342521",
            "telephone_number": "609-882-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRUECO",
        "first_name": "TRISTAN",
        "middle_name": "CAMPBELL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-05",
        "last_updated": "2022-05-09",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00688000",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OM00156000",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "10851315-9934",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonita Balcom, PSY.D.
• Theresa Balestrieri, RD
• Felipe Tablan Banzon, MD
• Brian Barrett, M.D.
• Amber M Barron, CNP
• Anne H. Bartolino, PT
• Thomas Bartolino, PT
• Christine M Beach, MSW, LCSW
• Kerry Ann Ann Beal
• Grace Marie Beans, PT, DPT

• Optometrist in Pennington, NJ
• Providers in Pennington, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.