Organization Active NPI

Elite Eye Group, LLC

  • Optometrist
  • Sicklerville, NJ
National Provider Identifier
1417426388
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ELITE EYE GROUP, LLC
Practice address
707 Liberty PL
Sicklerville, NJ 08081-5715
Phone
(856) 875-0022
NPI assigned
Nov 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Authorized official

Name
Dr. Frank M D'Orio, ODNPI 1154323442
Title
Owner, Optometrist
Phone
(856) 691-0720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

707 Liberty PL
Sicklerville, NJ 08081-5715

Mailing address

206 N Main Rd
Vineland, NJ 08360-8201
Phone (856) 691-0720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190109000707 NJ Part B Supplier - Clinic/Group Practice 7113263302 Receives reassigned benefits from 3 practitioners
Practice locations: Sicklerville, NJ

National Provider Directory

National Provider Directory

Locations

707 Liberty Pl
Sicklerville, NJ 08081
Phone (856) 875-0022

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542672000000",
    "number": "1417426388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N MAIN RD",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608201",
            "telephone_number": "856-691-0720",
            "fax_number": "856-691-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 LIBERTY PL",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080815715",
            "telephone_number": "856-875-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE EYE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-20",
        "last_updated": "2018-11-20",
        "status": "A",
        "authorized_official_last_name": "D'ORIO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER, OPTOMETRIST",
        "authorized_official_telephone_number": "856-691-0720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sicklerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.