Organization Active NPI

Center for Eyecare LLC

  • Ophthalmology Physician
  • Sewell, NJ
National Provider Identifier
1720330947
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA71387 Issued in NJ
Legal business name
CENTER FOR EYECARE LLC
Practice address
123 Egg Harbor Rd Ste 300
Sewell, NJ 08080-9406
Phone
(856) 290-4548
Fax
(856) 290-4552
NPI assigned
Oct 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Authorized official

Name
Ms. Pauline Girgis
Title
Office Manager
Phone
(856) 433-0325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 25MA71387 NJ Primary

Addresses

Primary practice location

123 Egg Harbor Rd Ste 300
Sewell, NJ 08080-9406

Mailing address

123 Egg Harbor Rd Ste 300
Sewell, NJ 08080-9406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121031000392 NJ Part B Supplier - Clinic/Group Practice 1759531650 Receives reassigned benefits from 3 practitioners
Practice locations: Sewell, NJ

National Provider Directory

National Provider Directory

Locations

123 Egg Harbor Rd
Ste 300
Sewell, NJ 08080
Phone (856) 290-4548

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1720330947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 EGG HARBOR RD STE 300",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 EGG HARBOR RD STE 300",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809406",
            "telephone_number": "856-290-4548",
            "fax_number": "856-290-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "GIRGIS",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "856-433-0325",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA71387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.

Verify at the official NPI Registry.