Organization Active NPI

Phillips Eye Consultants

  • Ophthalmic Technician/Technologist
  • North Brunswick, NJ
National Provider Identifier
1447319579
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X
Legal business name
PHILLIPS EYE CONSULTANTS
Practice address
1440 How LN
Suite 2B
North Brunswick, NJ 08902-4600
Phone
(732) 249-6164
Fax
(732) 418-1976
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Dr. Fay Lolita Bennett, MD
Title
President
Phone
(732) 249-6164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Technician/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1100X Primary

Addresses

Primary practice location

1440 How LN
Suite 2B
North Brunswick, NJ 08902-4600

Mailing address

PO Box 7184
North Brunswick, NJ 08902-7184
Phone (732) 249-6164

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050317000691 NJ Part B Supplier - Clinic/Group Practice 3375598899 Receives reassigned benefits from 2 practitioners
Practice locations: No Brunswick, NJ

National Provider Directory

National Provider Directory

Locations

1440 How Ln
Ste 2D
North Brunswick, NJ 08902
Phone (732) 249-6160

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": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1447319579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7184",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089027184",
            "telephone_number": "732-249-6164",
            "fax_number": "732-418-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 HOW LN",
            "address_2": "SUITE 2B",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089024600",
            "telephone_number": "732-249-6164",
            "fax_number": "732-418-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS EYE CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "FAY",
        "authorized_official_middle_name": "LOLITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-249-6164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.