William J Tullo, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

270A00485800 Issued in NJ

Practice address

211 N Harrison St
Ste. C
Princeton, NJ 08540-3530

Phone

(609) 921-6620

Fax

(609) 921-6628

NPI assigned

Jul 14, 2006

Last updated

Jun 8, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Specialty

Optometry

Education

State University of New York - State College Optometry, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

William J. Tullo, OD, LLCGroup PAC ID 6002964830, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• William J. Tullo, OD, LLC

  • Corneal and Contact Management Optometrist
  • Princeton, NJ
  • NPI 1417193889
  Medicare reassignment Care Compare group Authorized official
• Paul Phillips Eye & Surgery Center PC

  • Ophthalmology Physician
  • Bridgewater, NJ
  • NPI 1538601380
  NPD (past)
• Paul Phillips Eye & Surgery Center PC

  • Ophthalmology Physician
  • Flemington, NJ
  • NPI 1720193733

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1457377624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N. HARRISON STREET",
            "address_2": "STE. C",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "08540",
            "telephone_number": "609-921-6620",
            "fax_number": "609-921-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N HARRISON ST",
            "address_2": "STE. C",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403530",
            "telephone_number": "609-921-6620",
            "fax_number": "609-921-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLO",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00485800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "222532697",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas C Tsai, MD
• Fanny Tsui, FNP
• Allison Elizabeth Tucker, DO
• Janak Tull, DMD
• Lekha Tull, DDS
• Michael Tunick, LCSW
• John Turner Jr., DO
• Eve Turofmarcus, CRNA
• Two Cats Inc (Foot Solutions)
• Nicholas Twomey, LSW

• Optometrist in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.