Organization Active NPI

The Eye Professionals, PA

  • Ophthalmology Physician
  • Millville, NJ
National Provider Identifier
1548220312
Registry record updated May 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
THE EYE PROFESSIONALS, PA
Practice address
1205 N High St
Millville, NJ 08332-2530
Phone
(856) 825-8700
Fax
(856) 825-6430
NPI assigned
Mar 24, 2006
Last updated
May 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2009

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

Authorized official

Name
Dr. Steven L Rodis, M.D.
Title
President
Phone
(856) 825-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

1205 N High St
Millville, NJ 08332-2530

Mailing address

1205 N High St
Millville, NJ 08332-2530
Phone (856) 825-8700

Other identifiers 1

IdentifierTypeStateIssuer
3148009MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242345600000",
    "number": "1548220312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 N HIGH ST",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083322530",
            "telephone_number": "856-825-8700",
            "fax_number": "856-825-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N HIGH ST",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083322530",
            "telephone_number": "856-825-8700",
            "fax_number": "856-825-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE PROFESSIONALS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2009-05-15",
        "status": "A",
        "authorized_official_last_name": "RODIS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-825-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3148009",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; 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.