Mary Ann Hodle, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OM00106800 Issued in NJ

Practice address

4-14 Saddle River Rd
Suite 202
Fair Lawn, NJ 07410-5632

Phone

(201) 797-2747

Fax

(201) 797-5809

NPI assigned

Jul 9, 2012

Last updated

Jul 9, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, PA, DE3 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 3

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Resident Eye Care Associates LLCGroup PAC ID 1153310180, 14 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

25.83 of 100Reported as individual

Quality

31.67

Improvement activities

0

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Resident Eye Care Associates, LLC

  • Optometrist
  • Fair Lawn, NJ
  • NPI 1508883307

  DE, PA

  Medicare reassignment Care Compare group
• Home Vision Group LLC

  • Optometrist
  • Fair Lawn, NJ
  • NPI 1609067230
  Medicare reassignment

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1457616203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4-14 SADDLE RIVER RD",
            "address_2": "SUITE 202",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105632",
            "telephone_number": "201-797-2747",
            "fax_number": "201-797-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4-14 SADDLE RIVER RD",
            "address_2": "SUITE 202",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105632",
            "telephone_number": "201-797-2747",
            "fax_number": "201-797-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODLE",
        "first_name": "MARY ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OM00106800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Howard Hiller, D.P.M.
• Sarah Hiller, PT, DPT
• Ron Hirsh, MD
• George Hishmeh, DDS
• Shifra Hochman, CCC-SLP
• Mark H Hoffman, PT EDD
• Douglas S. Holden, M.D.
• Holsman Children's Therapy Center LLC
• Holsman Physical and Occupational Therapy, PC
• Home Vision Group LLC

• Optometrist in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.