Eyexam Associates PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00419000 Issued in NJ

Legal business name

EYEXAM ASSOCIATES PA

Practice address

2432 Route 38
Cherry Hill, NJ 08002-1238

Phone

(856) 482-2933

Fax

(856) 482-2936

NPI assigned

Oct 6, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Charles Fitzpatrick, O.D.NPI 1265437560

Title

President

Phone

(856) 482-2933

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

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

• Charles H Fitzpatrick, O.D.

  • Optometrist
  • Cherry Hill, NJ
  • NPI 1265437560
  Medicare reassignment Care Compare group NPD Authorized official
• Alan Siedman, O.D.

  • Optometrist
  • Cherry Hill, NJ
  • NPI 1649275405
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1760470405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2432 ROUTE 38",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080021238",
            "telephone_number": "856-482-2933",
            "fax_number": "856-482-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2432 ROUTE 38",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080021238",
            "telephone_number": "856-482-2933",
            "fax_number": "856-482-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEXAM ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-482-2933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00419000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "57221",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "571884",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0393359000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3397807",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0649747004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "16636",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "G119398",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "10561",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.

Verify at the official NPI Registry.