Individual provider Active NPI

Mina Pi Han, OD, MPH

  • Optometrist
  • Totowa, NJ
National Provider Identifier
1548798473
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00673200 Issued in NJ
Practice address
125 Route 46
Totowa, NJ 07512-2338
Phone
(973) 890-7070
NPI assigned
May 23, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00673200 NJ Primary

Addresses

Primary practice location

125 Route 46
Totowa, NJ 07512-2338

Mailing address

340 N Rte 17
Paramus, NJ 07652-2906
Phone (201) 262-7100

Other practice location 1

340 N Rte 17
Paramus, NJ 07652-2906
Phone (201) 262-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170920001084 NJ Practitioner - Optometry 5092089656 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bruce Meyer, OD, LLCGroup PAC ID 7012058449, 3 clinicians

Practice addresses (Care Compare)

297 Kinderkamack Rd
Suite 200
Oradell, NJ 07649-1535
Phone (201) 265-7900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce Meyer, OD, LLC CurrentSince Oct 9, 2020 Accepting new patients

Locations

297 Kinderkamack Rd
Oradell, NJ 07649
Phone (201) 261-7407

297 Kinderkamack Rd
Ste 200
Oradell, NJ 07649
Phone (201) 265-7900

Organizations & group practices 2

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": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1548798473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 N RTE 17",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522906",
            "telephone_number": "201-262-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 ROUTE 46",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122338",
            "telephone_number": "973-890-7070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 N Rte 17",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076522906",
            "country_code": "US",
            "telephone_number": "201-262-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAN",
        "first_name": "MINA",
        "middle_name": "PI",
        "name_prefix": "Dr.",
        "credential": "OD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00673200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Totowa, NJ

Sources for this page

Verify at the official NPI Registry.