Organization Active NPI

CDR Eye Associates, Inc.

  • Optometrist
  • Egg Harbor Township, NJ
National Provider Identifier
1548215569
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA0005252 Issued in NJ
Legal business name
CDR EYE ASSOCIATES, INC.
Practice address
3007 Ocean Heights Ave # 5
Egg Harbor Township, NJ 08234-7749
Phone
(609) 653-9933
NPI assigned
May 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Dr. Cheryl Anne Roell, O.D.NPI 1740235696
Title
President
Phone
(609) 653-9933

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 27OA0005252 NJ Primary

Addresses

Primary practice location

3007 Ocean Heights Ave # 5
Egg Harbor Township, NJ 08234-7749

Mailing address

3007 Ocean Heights Ave # 5
Egg Harbor Township, NJ 08234-7749
Phone (609) 653-9933

Other names 1

  • All About Eyes Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080128000211 NJ Part B Supplier - Clinic/Group Practice 3971685181 Receives reassigned benefits from 2 practitioners
Practice locations: Egg Harbor TWP, NJ

National Provider Directory

National Provider Directory

Locations

3007 Ocean Heights Ave
#5
Egg Harbor Twp, NJ 08234
Phone (609) 653-9933

3007 Ocean Heights Ave
Ste 105
Egg Hbr Twp, NJ 08234
Phone (609) 653-9933

3007 Ocean Heights Ave
Ste 5
Egg Hbr Twp, NJ 08234

Practitioners & affiliated clinicians

Practitioners 2

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": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1548215569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 OCEAN HEIGHTS AVE # 5",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082347749",
            "telephone_number": "609-653-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 OCEAN HEIGHTS AVE # 5",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082347749",
            "telephone_number": "609-653-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDR EYE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "ROELL",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-653-9933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA0005252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All About Eyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Egg Harbor Township, NJ

Sources for this page

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