Individual provider Active NPI

Robert M Kirsch, O.D.

  • Optometrist
  • West Orange, NJ
National Provider Identifier
1629075056
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4618 Issued in NJ
Practice address
495 Prospect Ave
Essex Green Plaza
West Orange, NJ 07052-4100
Phone
(973) 736-9700
Fax
(973) 736-4010
NPI assigned
Jun 30, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4618 NJ Primary

Addresses

Primary practice location

495 Prospect Ave
Essex Green Plaza
West Orange, NJ 07052-4100

Mailing address

495 Prospect Ave
Essex Green Plaza
West Orange, NJ 07052-4100
Phone (973) 736-9700

Other identifiers 1

IdentifierTypeStateIssuer
1442309MedicaidNJ

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
I20061206000429 NJ Practitioner - Optometry 3476552175 Practice locations: West Orange, NJ

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

414 Eagle Rock Ave
Suite 206a
West Orange, NJ 07052-4224
Phone (973) 736-9700

444 Eagle Rock Ave
Suite 206a
West Orange, NJ 07052-4224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4618NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Gary a Eagle LLC Optometrist Past Accepting new patients
Chaudhari Family Eyecare Inc Optometrist PastSince Sep 1, 2025 Accepting new patients

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629075056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 PROSPECT AVE",
            "address_2": "ESSEX GREEN PLAZA",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524100",
            "telephone_number": "973-736-9700",
            "fax_number": "973-736-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 PROSPECT AVE",
            "address_2": "ESSEX GREEN PLAZA",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524100",
            "telephone_number": "973-736-9700",
            "fax_number": "973-736-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCH",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "4618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1442309",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.