Individual provider Active NPI

Eric Robert Devore, OD

  • Optometrist
  • Iselin, NJ
National Provider Identifier
1427570464
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TVOO8636 Issued in NY
Practice address
485 Route 1 South Building a
Omni Eye Serevices
Iselin, NJ 08830
Phone
(732) 750-0400
NPI assigned
Jul 12, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TVOO8636 NY Primary

Addresses

Primary practice location

485 Route 1 South Building a
Omni Eye Serevices
Iselin, NJ 08830

Mailing address

485 Route 1 South Building a
Omni Eye Serevices
Iselin, NJ 08830
Phone (732) 750-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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

Enrollment IDStateProvider typePAC IDDetails
I20180821001914 NY Practitioner - Optometry 0749539997 Reassigns benefits to 2 organizations
I20180828001153 NJ Practitioner - Optometry 0749539997 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Eye Care Centers PCGroup PAC ID 1658360425, 13 clinicians

Practice addresses (Care Compare)

2495 Brunswick Pike
Suite 8
Lawrenceville, NJ 08648-4099
Phone (609) 882-8828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TVOO8636NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Campus Eye Group ASC, LLC Current Accepting new patients
Total Eye Care Centers, PC CurrentSince Nov 1, 2023 Accepting new patients
Bronxcare Health System Single Specialty Current Accepting new patients
Campus Eye Group, LLC Optometrist CurrentSince Sep 6, 2022 Accepting new patients
Resident Eye Care Associates, LLC Optometrist CurrentSince Apr 1, 2024 Accepting new patients
Bronxcare Health System Single Specialty CurrentSince Jul 1, 2021 Accepting new patients
Omni Eye Surgery of New York PC Single Specialty CurrentSince Jul 9, 2018 Accepting new patients
Bronxcare Health System CurrentSince Jul 1, 2021 Accepting new patients
Campus Eye Group, LLC Optometrist CurrentSince Sep 6, 2022 Accepting new patients
Ny Comprehensive Medical Wellness P.C. Single Specialty CurrentSince Dec 27, 2021 Accepting new patients
Total Eye Care Centers PC Optometrist CurrentSince Nov 1, 2023 Accepting new patients

Locations

4-14 Saddle River Rd
Ste 202
Fair Lawn, NJ 07410
Phone (718) 980-7700

2095 Klockner Rd
Hamilton Square, NJ 08690
Phone (609) 890-7621

2495 US Highway 1
Ste 8
Lawrenceville, NJ 08648
Phone (609) 882-2888

800 Bunn Dr
Princeton, NJ 08540
Phone (609) 497-9352

1700 Whitehorse Hamilton Square Rd
Ste A1
Trenton, NJ 08690
Phone (215) 781-2020

1276 Fulton Ave
Bronx, NY 10456
Phone (718) 518-5000

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

329 E 149th St
Fl 2
Bronx, NY 10451
Phone (718) 585-5500

20 E 46th St
Ph
New York, NY 10017
Phone (212) 353-0030

1568 Woodbourne Rd
Levittown, PA 19057
Phone (215) 943-7800

Interoperability endpoints

  • Direct secure messaging: edevore@campuseye.intellechartdirect.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1427570464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 ROUTE 1 SOUTH BUILDING A",
            "address_2": "OMNI EYE SEREVICES",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "08830",
            "telephone_number": "732-750-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 ROUTE 1 SOUTH BUILDING A",
            "address_2": "OMNI EYE SEREVICES",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "08830",
            "telephone_number": "732-750-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVORE",
        "first_name": "ERIC",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TVOO8636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iselin, NJ

Sources for this page

Verify at the official NPI Registry.