Active NPI
Bedminster Eye and Laser Center, P.a.
- Ophthalmology Physician
- Bedminster, NJ
National Provider Identifier
1659473973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 25MA04973100
- Legal business name
- BEDMINSTER EYE AND LASER CENTER, P.A.
- Practice address
- 400 Main St.
Bedminster, NJ 07921 - Phone
- (908) 781-2020
- NPI assigned
- Sep 5, 2006
- Last updated
- Jul 1, 2008
- 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
- Ms. Lori McCann
- Title
- Practice Consultant
- Phone
- (908) 781-2020
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OA05514 | NJ | |
| Ophthalmology Physician | 207W00000X | 25MA04973100 | NJ | Primary |
Addresses
Primary practice location
400 Main St.
Bedminster, NJ 07921
Mailing address
PO Box 103
Bedminster, NJ 07921-0103
Phone (908) 781-2020
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1170601 | Medicaid | NJ | |
| 27207 | Other | NJ | AETNA |
| OM1314 | Other | NJ | HEALTNET |
| TS113 | Other | NJ | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2141978 | Bedminster Eye & Laser Center | Certificate of waiver | Dec 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
400 Main St
#2
Bedminster, NJ 07921
773 Teaneck Rd
Ste B
Teaneck, NJ 07666
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Dover, NJ
- NPI 1699757856
-
- Ophthalmology Physician
- Teaneck, NJ
- NPI 1639271984
-
- Optometrist
- Bedminster, NJ
- NPI 1508901240
-
- Optometrist
- Berkeley Heights, NJ
- NPI 1528136595
-
- Optometrist
- Lebanon, NJ
- NPI 1023117835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214870400000",
"number": "1659473973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 103",
"city": "BEDMINSTER",
"state": "NJ",
"postal_code": "079210103",
"telephone_number": "908-781-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 MAIN ST.",
"city": "BEDMINSTER",
"state": "NJ",
"postal_code": "07921",
"telephone_number": "908-781-2020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEDMINSTER EYE AND LASER CENTER, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-05",
"last_updated": "2008-07-01",
"status": "A",
"authorized_official_last_name": "MCCANN",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "PRACTICE CONSULTANT",
"authorized_official_telephone_number": "908-781-2020",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "OA05514",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NJ",
"license": "25MA04973100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1170601",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "27207",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTNET",
"identifier": "OM1314",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "TS113",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bedminster, NJ
- Barazesh Illiano Dental Partnership
- Theresa Barr, RPH
- Meryl A Baurmash, D.D.S.
- Charles Becker, M.D.
- Bedminster Dental & Specialty Group, LLC (Brighter Dental Care (Bedminster))
- Bedminster Homecare PT
- Bedminster Orthopaedics & Sports Medicine PA
- Bedminster Specialty Pharmacy Inc. (Bedminster Pharmacy)
- Better Wellness Counseling and Consulting LLC
- Anita Bhavnani
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.