Active NPI
Resident Eye Care Associates, LLC
- Optometrist
- Fair Lawn, NJ
National Provider Identifier
1508883307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3650
- Legal business name
- RESIDENT EYE CARE ASSOCIATES, LLC
- Practice address
- 4-14 Saddle River Rd
Suite 202
Fair Lawn, NJ 07410-5632 - Phone
- (201) 797-2747
- Fax
- (201) 797-5809
- NPI assigned
- Jul 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jack Sol Mermelstein, OD
- Title
- Owner
- Phone
- (201) 797-2747
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3650 | NJ | Primary |
Addresses
Primary practice location
4-14 Saddle River Rd
Suite 202
Fair Lawn, NJ 07410-5632
Mailing address
4-14 Saddle River Rd
Suite 202
Fair Lawn, NJ 07410-5632
Phone (201) 797-2747
Other practice location 1
505 Greenbank Rd
Wilmington, DE 19808-3164
Phone (201) 797-2747
Other practice location 2
5280 SW 157th Ave
Miami, FL 33185-5297
Phone (201) 797-2747
Other practice location 3
845 Germantown Pike
Plymouth Meeting, PA 19462-2566
Phone (201) 797-2747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8738009 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY, PA, OH, DE, FL
Enrollment records 7
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040506001013 | NJ | Part B Supplier - Clinic/Group Practice | 1153310180 |
Receives reassigned benefits from 19 practitioners Practice locations: Fair Lawn, NJ |
| O20071228000077 | NY | Part B Supplier - Clinic/Group Practice | 1153310180 |
Receives reassigned benefits from 3 practitioners Practice locations: Brooklyn, NY |
| O20100930097918 | NJ | DME Supplier - Physician - Optometrist | 1153310180 | Practice locations: Fair Lawn, NJ |
| O20130603000031 | PA | Part B Supplier - Clinic/Group Practice | 1153310180 |
Receives reassigned benefits from 7 practitioners Practice locations: Easton, PA |
| O20191204000939 | OH | Part B Supplier - Clinic/Group Practice | 1153310180 |
Receives reassigned benefits from 2 practitioners Practice locations: Beachwood, OH |
| O20250318000691 | DE | Part B Supplier - Clinic/Group Practice | 1153310180 |
Receives reassigned benefits from 1 practitioner Practice locations: Wilmington, DE |
| O20260406003616 | FL | Part B Supplier - Clinic/Group Practice | 1153310180 |
Receives reassigned benefits from 1 practitioner Practice locations: Miami, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Resident Eye Care Associates LLC | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
2125 Fairview Ave
Easton, PA 18042
Phone (610) 258-2801
Practitioners & affiliated clinicians
Practitioners 25
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Philadelphia, PA
- NPI 1528353943
-
- Optometrist
- Milmont Park, PA
- NPI 1538987193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778716800000",
"number": "1508883307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4-14 SADDLE RIVER RD",
"address_2": "SUITE 202",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074105632",
"telephone_number": "201-797-2747",
"fax_number": "201-797-5809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4-14 SADDLE RIVER RD",
"address_2": "SUITE 202",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074105632",
"telephone_number": "201-797-2747",
"fax_number": "201-797-5809"
}
],
"practiceLocations": [
{
"address_1": "505 Greenbank Rd",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "DE",
"postal_code": "198083164",
"country_code": "US",
"telephone_number": "201-797-2747",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5280 SW 157th Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331855297",
"country_code": "US",
"telephone_number": "201-797-2747",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "845 Germantown Pike",
"address_purpose": "LOCATION",
"city": "Plymouth Meeting",
"state": "PA",
"postal_code": "194622566",
"country_code": "US",
"telephone_number": "201-797-2747",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "RESIDENT EYE CARE ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-16",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A",
"authorized_official_last_name": "MERMELSTEIN",
"authorized_official_first_name": "JACK",
"authorized_official_middle_name": "SOL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-797-2747",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NJ",
"license": "3650",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8738009",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fair Lawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.