Individual provider Active NPI

Gopi Patel Vyas, OD

  • Optometrist
  • Eatontown, NJ
National Provider Identifier
1669185518
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00718600 Issued in NJ
Practice address
10 Industrial Way E Ste 2
Eatontown, NJ 07724-3333
Phone
(732) 542-0300
NPI assigned
Jan 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00718600 NJ Primary

Addresses

Primary practice location

10 Industrial Way E Ste 2
Eatontown, NJ 07724-3333

Mailing address

7 Helen CT
Monroe Township, NJ 08831-3551

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.drbarryedison.com

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
I20230214000843 NJ Practitioner - Optometry 1355713785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barry J. Edison D.O. P.C.Group PAC ID 3678522091, 4 clinicians

Practice addresses (Care Compare)

10 Industrial Way E
Suite 102
Eatontown, NJ 07724-3332
Phone (732) 201-3993

Merit-based Incentive Payment System (MIPS)

Final score
95.79 of 100Reported as group
Quality
91.59
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00718600NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Barry J. Edison D.O. P.C. Optometrist CurrentSince Feb 1, 2023 Accepting new patients
Invision Eyecare Specialists Optometrist PastSince Jan 8, 2023 Accepting new patients
Eye Institute of Central New Jersey, PC PastSince Feb 1, 2023 Accepting new patients

Locations

192 Jack Martin Blvd
Unit B4
Brick, NJ 08724
Phone (732) 477-1177

10 Industrial Way E
Ste 102
Eatontown, NJ 07724
Phone (732) 201-3993

10 Industrial Way E
Ste 2
Eatontown, NJ 07724
Phone (732) 542-0300

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1669185518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HELEN CT",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088313551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 INDUSTRIAL WAY E STE 2",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077243333",
            "telephone_number": "732-542-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VYAS",
        "first_name": "GOPI",
        "middle_name": "PATEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00718600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.drbarryedison.com",
            "affiliation": "N",
            "address_1": "10 Industrial Way E Ste 2",
            "city": "Eatontown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077243333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

Verify at the official NPI Registry.