Organization Active NPI

Camden Eye Center

  • Optometrist
  • Camden, NJ
National Provider Identifier
1487794772
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CAMDEN EYE CENTER
Practice address
400 Chambers Ave
Camden, NJ 08103-1405
Phone
(856) 365-1811
Fax
(856) 616-9259
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Lawrence A Ragone, OD
Title
Cofounder of Organization
Phone
(856) 365-1811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

400 Chambers Ave
Camden, NJ 08103-1405

Mailing address

400 Chambers Ave
Camden, NJ 08103-1405
Phone (856) 365-1811

Other identifiers 1

IdentifierTypeStateIssuer
2477807MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487794772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CHAMBERS AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031405",
            "telephone_number": "856-365-1811",
            "fax_number": "856-616-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CHAMBERS AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031405",
            "telephone_number": "856-365-1811",
            "fax_number": "856-616-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMDEN EYE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAGONE",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COFOUNDER OF ORGANIZATION",
        "authorized_official_telephone_number": "856-365-1811",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2477807",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.