Individual provider Active NPI

Anthony Starr, OD

  • Optometrist
  • Marlton, NJ
National Provider Identifier
1396435657
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00720100 Issued in NJ
Practice address
701 Route 73 N Ste 3
Marlton, NJ 08053-3466
Phone
(856) 988-1118
NPI assigned
May 10, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00720100 NJ Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

701 Route 73 N Ste 3
Marlton, NJ 08053-3466

Mailing address

701 Route 73 N Ste 3
Marlton, NJ 08053-3466

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
I20230629003054 NJ Practitioner - Optometry 7911366547 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Eye Medford LLCGroup PAC ID 2961865332, 5 clinicians
Premier Eye Marlton, LLCGroup PAC ID 2062891781, 6 clinicians

Practice addresses (Care Compare)

200 Tuckerton Rd
Suite 3
Medford, NJ 08055-8806
Phone (856) 983-8887

701 Route 73 N 3
Premier Eye Associates
Marlton, NJ 08053-3466
Phone (856) 858-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Eye Medford LLC Optometrist CurrentSince Jul 17, 2023 Accepting new patients
Premier Eye Marlton, LLC Optometrist CurrentSince Jun 19, 2023 Accepting new patients

Locations

571 Haddon Ave
Haddon Township, NJ 08108

701 Route 73 N
Ste 3
Marlton, NJ 08053
Phone (856) 988-1118

200 Tuckerton Rd
Ste 3
Medford, NJ 08055
Phone (856) 983-8887

200 Tuckerton Rd
Ste 6
Medford, NJ 08055
Phone (856) 983-8887

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": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1396435657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 ROUTE 73 N STE 3",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 ROUTE 73 N STE 3",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533466",
            "telephone_number": "856-988-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARR",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00720100",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.