Organization Active NPI

Gubman Eye Associates, PA

  • Optometrist
  • Voorhees, NJ
National Provider Identifier
1497798763
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OA0005166 Issued in NJ
Legal business name
GUBMAN EYE ASSOCIATES, PA
Practice address
2 Sheppard Rd
Ste 303
Voorhees, NJ 08043-4787
Phone
(856) 751-0220
Fax
(856) 751-0222
NPI assigned
Jun 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Authorized official

Name
David Gubman, ODNPI 1902832934
Title
President
Phone
(856) 751-0220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OA0005166 NJ Primary

Addresses

Primary practice location

2 Sheppard Rd
Ste 303
Voorhees, NJ 08043-4787

Mailing address

303 Sheppard Rd
Voorhees, NJ 08043-4670
Phone (856) 751-0220

Other practice location 1

307 Glassboro Rd
Woodbury Heights, NJ 08097-1018
Phone (856) 848-5388

Other identifiers 4

IdentifierTypeStateIssuer
5300100MedicaidNJ
5500480004OtherCIGNA
501029OtherAETNA
0759379000OtherAMERIHEALTH

Other names 2

  • Eye & Sight Center of Gubman Eye Associates Doing business as
  • Eye and Sight Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071113000631 NJ Part B Supplier - Clinic/Group Practice 8921196692 Receives reassigned benefits from 1 practitioner
Practice locations: Voorhees, NJ; Woodbury, NJ

National Provider Directory

National Provider Directory

Locations

307 Glassboro Rd
Ste 2
Woodbury, NJ 08097
Phone (856) 848-5388

Interoperability endpoints

  • Direct secure messaging: drgubman@eyeandsightcenter.eyefinity-direct.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1497798763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 SHEPPARD RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434670",
            "telephone_number": "856-751-0220",
            "fax_number": "856-751-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SHEPPARD RD",
            "address_2": "STE 303",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434787",
            "telephone_number": "856-751-0220",
            "fax_number": "856-751-0222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 Glassboro Rd",
            "address_purpose": "LOCATION",
            "city": "Woodbury Heights",
            "state": "NJ",
            "postal_code": "080971018",
            "country_code": "US",
            "telephone_number": "856-848-5388",
            "fax_number": "856-848-8442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GUBMAN EYE ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "GUBMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-751-0220",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA0005166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5300100",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5500480004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "501029",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0759379000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye & Sight Center of Gubman Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eye and Sight Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.