Lisa Denise Reardon

Primary specialty

OpticianTaxonomy code 156FX1800X

License

31TD00315200 Issued in NJ

Practice address

700 Marketplace Blvd
Hamilton, NJ 08691-2115

Phone

(609) 585-2403

Fax

(609) 585-2189

NPI assigned

Dec 14, 2023

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1497523989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MARKETPLACE BLVD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086912115",
            "telephone_number": "609-585-2403",
            "fax_number": "609-585-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MARKETPLACE BLVD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086912115",
            "telephone_number": "609-585-2403",
            "fax_number": "609-585-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REARDON",
        "first_name": "LISA",
        "middle_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NJ",
            "license": "31TD00315200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Rawlins, BCBA
• Kimberly Raynor
• Rubina Baber Raza, MD
• Agha Sadeq Razvi, MD
• Jill Sherrard Rea, PT
• Chandler Rebernik, BA
• Sumitha R. Reddy, MD
• Vijaya Potharlanka Redlich, DO
• Refocus Eye Health of NJ, P.C.
• Donna Pidane Reger, MD

• Optician in Hamilton, NJ
• Providers in Hamilton, NJ by specialty
• Optician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.