Active NPI
Optic One Inc
- Optometrist
- Cinnaminson, NJ
National Provider Identifier
1558064386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- OPTIC ONE INC
- Practice address
- 2401 Route 130 S
Cinnaminson, NJ 08077-3020 - Phone
- (856) 786-1616
- Fax
- (856) 786-3565
- NPI assigned
- Mar 22, 2023
- 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
- Mr. Robert Dean Levy, DO
- Title
- Owner
- Phone
- (856) 786-1616
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
2401 Route 130 S
Cinnaminson, NJ 08077-3020
Mailing address
4423 Route 130 S
Burlington, NJ 08016-2385
Phone (609) 386-0202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2401 Route 130 S
Cinnaminson, NJ 08077
Phone (856) 786-1616
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Burlington, NJ
- NPI 1861495517
-
- Optometrist
- Burlington, NJ
- NPI 1376876722
-
- Optometrist
- Burlington, NJ
- NPI 1043799596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679443200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679443200000",
"number": "1558064386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4423 ROUTE 130 S",
"city": "BURLINGTON",
"state": "NJ",
"postal_code": "080162385",
"telephone_number": "609-386-0202",
"fax_number": "609-386-5927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 ROUTE 130 S",
"city": "CINNAMINSON",
"state": "NJ",
"postal_code": "080773020",
"telephone_number": "856-786-1616",
"fax_number": "856-786-3565"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIC ONE INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-22",
"last_updated": "2023-03-22",
"certification_date": "2023-03-21",
"status": "A",
"authorized_official_last_name": "LEVY",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "DEAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "856-786-1616",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cinnaminson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.