Robert M Cole III, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00347300 Issued in NJ

Practice address

205 Laurel Heights Dr
Bridgeton, NJ 08302-3635

Phone

(856) 455-5500

Fax

(856) 455-5480

NPI assigned

Sep 22, 2005

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1497741730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 LAUREL HEIGHTS DR",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083023635",
            "telephone_number": "856-455-5500",
            "fax_number": "856-455-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 LAUREL HEIGHTS DR",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083023635",
            "telephone_number": "856-455-5500",
            "fax_number": "856-455-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00347300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1238001",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "410026194",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin Clemons, M.D.
• Darlene Clendaniel, APN,PMHNP
• Cohanzick Orthopedics PA
• Latasha Cohen
• Sherrie Renee Colaneri-Day, NP
• Brandon David Colle, LAC,LAAT,ATR-BC,NCC
• Community Health Care, Inc.
• Community Health Care, Inc.
• Community Health Care, Inc.
• Community Health Care, Inc.

• All providers in Bridgeton, NJ
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.