Individual provider Active NPI

Anthony Trezza, O.D.

  • Optometrist
  • Denville, NJ
National Provider Identifier
1730297169
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NJ5208 Issued in NJ
Practice address
5 E Main St
Suite 7
Denville, NJ 07834-2175
Phone
(973) 983-0400
Fax
(973) 215-2122
NPI assigned
Aug 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NJ5208 NJ Primary
Optometrist 152W00000X TPANJ0495 NJ

Addresses

Primary practice location

5 E Main St
Suite 7
Denville, NJ 07834-2175

Mailing address

5 E Main St
Suite 7
Denville, NJ 07834-2175
Phone (973) 983-0400

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
I20050801000290 NJ Practitioner - Optometry 2567490527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5 E Main St
Suite 7
Denville, NJ 07834-2171
Phone (973) 983-0400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NJ5208NJMDOptometrist
TPANJ0495NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Denville Family Eyecare Optometrist CurrentSince Mar 6, 2009 Accepting new patients

Locations

5 E Main St
Ste 7
Denville, NJ 07834
Phone (973) 983-0400

Organizations & group practices 1

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": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401667200000",
    "number": "1730297169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 E MAIN ST",
            "address_2": "SUITE 7",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342175",
            "telephone_number": "973-983-0400",
            "fax_number": "973-215-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 E MAIN ST",
            "address_2": "SUITE 7",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342175",
            "telephone_number": "973-983-0400",
            "fax_number": "973-215-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREZZA",
        "first_name": "ANTHONY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-27",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "NJ5208",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "TPANJ0495",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

Verify at the official NPI Registry.