Individual provider Active NPI

Jennifer B Haber, OD

  • Optometrist
  • Iselin, NJ
National Provider Identifier
1497706881
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Practice address
670 Route 1 North
Iselin, NJ 08830
Phone
(732) 636-1400
Fax
(732) 636-1401
NPI assigned
May 12, 2006
Last updated
Sep 7, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NJ Primary

Addresses

Primary practice location

670 Route 1 North
Iselin, NJ 08830

Mailing address

1278 Hooper Ave
Toms River, NJ 08753-3324
Phone (732) 505-0533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, CT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040427000030 NJ Practitioner - Optometry 3971590621 Reassigns benefits to 1 organization
I20240506001300 CT Practitioner - Optometry 3971590621 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OAO0532200NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Waterford Optometric PC Optometrist CurrentSince Apr 1, 2024 Accepting new patients
Waterford Eyecare Optometrist Current Accepting new patients
Eye Surgeons LLC Past Accepting new patients
Contact Lens and Vision Consultants, P.a Optometrist Past Accepting new patients
Contact Lens and Vision Associates, P.a Optometrist PastSince Aug 4, 2009 Accepting new patients

Locations

903 Hartford Tpke
Unit 29
Waterford, CT 06385
Phone (860) 444-7360

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1497706881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1278 HOOPER AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087533324",
            "telephone_number": "732-505-0533",
            "fax_number": "732-505-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 ROUTE 1 NORTH",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "08830",
            "telephone_number": "732-636-1400",
            "fax_number": "732-636-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABER",
        "first_name": "JENNIFER",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iselin, NJ

Sources for this page

Verify at the official NPI Registry.