Brandon Jon Wuzzardo, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00649500 Issued in NJ

Practice address

205 Laurel Heights Dr
Bridgeton, NJ 08302-3635

Phone

(856) 455-5500

Fax

(856) 455-5480

NPI assigned

Aug 14, 2013

Last updated

Aug 14, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Jersey Eye Associates PAGroup PAC ID 8022159458, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• South Jersey Eye Associates PA

  • Optometrist
  • Bridgeton, NJ
  • NPI 1366438939
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1710310610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 LAUREL HEIGHTS DR",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083023635",
            "telephone_number": "856-455-5500",
            "fax_number": "856-455-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 LAUREL HEIGHTS DR",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083023635",
            "telephone_number": "856-455-5500",
            "fax_number": "856-455-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUZZARDO",
        "first_name": "BRANDON",
        "middle_name": "JON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-14",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00649500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OM CERTIFICATION",
            "identifier": "27OM00115700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amelia Wilmore-Nozil
• Tishika M Wise, PERINATAL DOULA
• John Wojtowicz
• Heather Wolfenden, LCSW
• Womens Healthcare of South Jersey
• Christina Zuckier, LPC

• Optometrist in Bridgeton, NJ
• Providers in Bridgeton, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.