Active NPI
Elite Eye Group, LLC
- Optometrist
- Sicklerville, NJ
National Provider Identifier
1417426388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Frank M D'Orio, OD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Vineland, NJ
- NPI 1154323442
-
- Optometrist
- Sicklerville, NJ
- NPI 1164689857
-
- Optometrist
- Medford, NJ
- NPI 1891219945
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.