Individual provider Active NPI

Mary Reto, OD

  • Optometrist
  • Sea Girt, NJ
National Provider Identifier
1407940935
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00591700 Issued in NJ
Practice address
2204 Highway 35 Ste 9
Sea Girt, NJ 08750-2323
Phone
(732) 671-7300
Fax
(732) 706-1605
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OA5917 NJ
Optometrist 152W00000X 27OA00591700 NJ Primary

Addresses

Primary practice location

2204 Highway 35 Ste 9
Sea Girt, NJ 08750-2323

Mailing address

2204 Highway 35 Ste 9
Sea Girt, NJ 08750-2323
Phone (732) 223-2800

Other practice location 1

245 Paterson Ave
Little Falls, NJ 07424
Phone (973) 785-3277

Other names 1

  • Dr. Mary Reto Professional name

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
I20070109000035 NJ Practitioner - Optometry 6204836653 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00591700NJMDOptometrist
OA5917NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optometric Physicians of Middletown PA Optometrist CurrentSince Oct 1, 2018 Accepting new patients
Optometric Physicians of Middletown PA Optometrist CurrentSince Oct 1, 2018 Accepting new patients

Locations

359 Brick Blvd
Brick, NJ 08723
Phone (732) 920-1330

178 Highway 35
Ste 1
Eatontown, NJ 07724
Phone (732) 542-3050

178 Highway 35
Eatontown, NJ 07724
Phone (732) 475-7535

3013 State Route 35
Hazlet, NJ 07730
Phone (732) 739-4000

1021 Route 70
Manchester, NJ 08759
Phone (732) 657-1400

786 State Route 35
Middletown, NJ 07748
Phone (732) 671-7300

35 Monmouth St
Red Bank, NJ 07701
Phone (732) 530-5151

2204 Highway 35
Ste 1
Sea Girt, NJ 08750
Phone (732) 223-2800

2204 Highway 35
Ste 9
Sea Girt, NJ 08750
Phone (732) 223-2800

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1407940935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 HIGHWAY 35 STE 9",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087502323",
            "telephone_number": "732-223-2800",
            "fax_number": "732-223-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 HIGHWAY 35 STE 9",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087502323",
            "telephone_number": "732-671-7300",
            "fax_number": "732-706-1605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 Paterson Ave",
            "address_purpose": "LOCATION",
            "city": "Little Falls",
            "state": "NJ",
            "postal_code": "07424",
            "country_code": "US",
            "telephone_number": "973-785-3277",
            "fax_number": "973-812-1723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RETO",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA5917",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00591700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "RETO",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sea Girt, NJ

Sources for this page

Verify at the official NPI Registry.