Individual provider Active NPI

Lillian Fasman, O.D.

  • Optometrist
  • Manalapan, NJ
National Provider Identifier
1780066506
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00660100 Issued in NJ
Practice address
357 Route 9
Manalapan, NJ 07726-3284
Phone
(732) 972-2221
NPI assigned
Jun 29, 2015
Last updated
Jun 29, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00660100 NJ Primary

Addresses

Primary practice location

357 Route 9
Manalapan, NJ 07726-3284

Mailing address

357 Route 9
Manalapan, NJ 07726-3284
Phone (732) 972-2221

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
I20150820012191 NJ Practitioner - Optometry 1254646110

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1107 Valley Rd
Stirling, NJ 07980-1546
Phone (908) 580-2555

1107 Valley Rd
Suite 3
Stirling, NJ 07980-1524

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
US Visionmed Partners Optometry of New Jersey LLC CurrentSince Sep 15, 2024 Accepting new patients
Carabin Eye Care, PC PastSince Aug 31, 2019 Accepting new patients

Locations

911 Oak Tree Ave
Ste A1
South Plainfield, NJ 07080
Phone (908) 222-1100

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1780066506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 ROUTE 9",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263284",
            "telephone_number": "732-972-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 ROUTE 9",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263284",
            "telephone_number": "732-972-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASMAN",
        "first_name": "LILLIAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00660100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

Verify at the official NPI Registry.