Individual provider Active NPI

Alexander Michael Trezza, O.D.

  • Optometrist
  • Denville, NJ
National Provider Identifier
1437722873
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003812 Issued in NJ
Practice address
5 E Main St Ste 7
Denville, NJ 07834-2171
Phone
(973) 983-0400
NPI assigned
Jul 22, 2021
Last updated
Sep 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 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 OEG003812 NJ Primary

Addresses

Primary practice location

5 E Main St Ste 7
Denville, NJ 07834-2171

Mailing address

5 E Main St Ste 7
Denville, NJ 07834-2171
Phone (973) 983-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, 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
I20221114000274 PA Practitioner - Optometry 0941677496 Reassigns benefits to 2 organizations
I20221118001309 NJ Practitioner - Optometry 0941677496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Monroe Vision and Hearing Center IncGroup PAC ID 6901844778, 2 clinicians

Practice addresses (Care Compare)

1036 N 9TH St
Stroudsburg, PA 18360-1210
Phone (570) 421-2680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003812NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe Vision and Hearing Center, Inc. Optometrist CurrentSince Aug 15, 2022 Accepting new patients
Denville Family Eyecare Optometrist CurrentSince Jul 1, 2021 Accepting new patients
The Optical Center Doctors Office of Newton LLC Optometrist CurrentSince Aug 15, 2022 Accepting new patients
Custom Eyes RX Inc CurrentSince Aug 15, 2022 Accepting new patients
Optical Center Doctors Office PA Past Accepting new patients

Locations

5 E Main St
Ste 7
Denville, NJ 07834
Phone (973) 983-0400

46 Hampton House Rd
Newton, NJ 07860
Phone (973) 383-3650

120 Hulst Dr
Matamoras, PA 18336
Phone (570) 491-5454

1036 N 9th St
Stroudsburg, PA 18360
Phone (570) 421-2680

Organizations & group practices 5

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": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1437722873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 E MAIN ST STE 7",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342171",
            "telephone_number": "973-983-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 E MAIN ST STE 7",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342171",
            "telephone_number": "973-983-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREZZA",
        "first_name": "ALEXANDER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-22",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OEG003812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

Verify at the official NPI Registry.