Individual provider Active NPI

Candice Bernice Tolud, O.D.

  • Optometrist
  • Moorestown, NJ
National Provider Identifier
1508120957
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00640200 Issued in NJ
Practice address
509 S Lenola Rd Ste 11a
Moorestown, NJ 08057-1561
Phone
(856) 234-0258
Fax
(856) 727-9518
NPI assigned
Jun 30, 2012
Last updated
Nov 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002714 PA
Optometrist 152W00000X 27OM00107400 NJ
Optometrist 152W00000X 009483 NY
Optometrist 152W00000X 27OA00640200 NJ Primary

Addresses

Primary practice location

509 S Lenola Rd Ste 11a
Moorestown, NJ 08057-1561

Mailing address

509 S Lenola Rd Ste 11a
Moorestown, NJ 08057-1561
Phone (856) 234-0258

Other practice location 1

33 W 42nd St
New York, NY 10036-8005
Phone (212) 938-4001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 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
I20120807000269 NJ Practitioner - Optometry 7416103486 Reassigns benefits to 1 organization
I20211215000090 NY Practitioner - Optometry 7416103486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2011
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

25 Homestead Dr
Suite a
Columbus, NJ 08022-1005
Phone (609) 298-0888

33 W 42ND St
New York, NY 10036-8005
Phone (212) 938-4001

Merit-based Incentive Payment System (MIPS)

Final score
86.46 of 100Reported as group
Quality
73.89
Promoting interoperability
89
Improvement activities
40
Cost
75.72

Merit-based Incentive Payment System (MIPS)

Final score
96.39 of 100Reported as individual
Quality
93.44
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00640200NJMDOptometrist
27OM00107400NJMDOptometrist
OEG002714PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Retinal Consultants LLC Optometrist CurrentSince Jan 1, 2022 Accepting new patients
Associated Retinal Consultants LLC Optometrist CurrentSince Jan 1, 2022 Accepting new patients
State of New York Comptrollers Office Optometrist CurrentSince Oct 19, 2021 Accepting new patients
State of New York Comptrollers Office CurrentSince Oct 19, 2021 Accepting new patients
Suny Downstate Medical Center Past Accepting new patients

Locations

25 Homestead Dr
Ste A
Columbus, NJ 08022
Phone (609) 298-0888

509 S Lenola Rd
Bldg 11
Moorestown, NJ 08057
Phone (856) 234-0222

509 S Lenola Rd
Bldg 11A
Moorestown, NJ 08057
Phone (856) 231-5911

509 S Lenola Rd
Ste 11A
Moorestown, NJ 08057
Phone (856) 231-5920

2 Capital Way
Ste 326
Pennington, NJ 08534
Phone (609) 882-8833

628 Cedar Ln
Teaneck, NJ 07666
Phone (201) 837-7300

251 S Lincoln Ave
Vineland, NJ 08361
Phone (856) 691-8188

33 W 42nd St
New York, NY 10036
Phone (212) 780-4930

33 W 42nd St
Fl 10
New York, NY 10036
Phone (212) 780-4930

University Eye Ctr
New York, NY 10087

Interoperability endpoints

  • Direct secure messaging: candice.tolud.p1@direct.opt.nextgenshare.com
  • Direct secure messaging: candice.tolud@direct.sjeye.nextgenshare.com

Organizations & group practices 5

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": "1341014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1508120957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 S LENOLA RD STE 11A",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571561",
            "telephone_number": "856-234-0258",
            "fax_number": "856-727-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 S LENOLA RD STE 11A",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571561",
            "telephone_number": "856-234-0258",
            "fax_number": "856-727-9518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 W 42nd St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100368005",
            "country_code": "US",
            "telephone_number": "212-938-4001",
            "fax_number": "212-938-5831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOLUD",
        "first_name": "CANDICE",
        "middle_name": "BERNICE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-30",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002714",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OM00107400",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009483",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00640200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

Verify at the official NPI Registry.