Individual provider Active NPI

Robert David Harmon, OD

  • Optometrist
  • Paramus, NJ
National Provider Identifier
1780727800
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TPA TO00084100 Issued in NJ
Practice address
1Garden State Plaza
Paramus, NJ 07652
Phone
(201) 712-0888
NPI assigned
Feb 15, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001553 PA
Optometrist 152W00000X 3807 MA
Optometrist 152W00000X TPA TO00084100 NJ Primary
Optometrist 152W00000X FL

Addresses

Primary practice location

1Garden State Plaza
Paramus, NJ 07652

Mailing address

39 Lakeview Place
Apt #B8
Verona, NJ 07044
Phone (973) 722-5345

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
I20110921000208 NJ Practitioner - Optometry 3173794237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Eye Care Services, P.a.Group PAC ID 0345201943, 5 clinicians

Practice addresses (Care Compare)

301 Mount Hope Ave
Suite 2002
Rockaway, NJ 07866-2125
Phone (973) 366-9622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 2834 12101FLMDOptometrist
3807MAMDOptometrist
TPA TO00084100NJMDOptometrist
OEG001553PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eye Care Services, P.a. Optometrist CurrentSince Aug 1, 2011 Accepting new patients

Locations

400 Commons Way
Bridgewater, NJ 08807
Phone (908) 218-1029

400 Commons Way
Ste 327
Bridgewater, NJ 08807
Phone (908) 704-8855

301 Mount Hope Ave
Ste 2002
Rockaway, NJ 07866
Phone (973) 366-9622

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, 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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780727800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 LAKEVIEW PLACE",
            "address_2": "APT #B8",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "07044",
            "telephone_number": "973-722-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1GARDEN STATE PLAZA",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "07652",
            "telephone_number": "201-712-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMON",
        "first_name": "ROBERT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001553",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3807",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "TPA TO00084100",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.