Jaime Blyskal Marcolini, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00573300 Issued in NJ

Practice address

186 Center St Ste 170
Clinton, NJ 08809-1385

Phone

(908) 735-5712

NPI assigned

Oct 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jaime Marcolini-Blyskal Professional name

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinton Family Eyecare Center, LLCGroup PAC ID 7517970114, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Clinton Family Eyecare Center, LLC

  • Optometrist
  • Clinton, NJ
  • NPI 1346228285
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223424000000",
    "number": "1790875946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 CENTER ST STE 170",
            "city": "CLINTON",
            "state": "NJ",
            "postal_code": "088091385",
            "telephone_number": "908-735-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 CENTER ST STE 170",
            "city": "CLINTON",
            "state": "NJ",
            "postal_code": "088091385",
            "telephone_number": "908-735-5712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCOLINI",
        "first_name": "JAIME",
        "middle_name": "BLYSKAL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00573300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "866202",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIME",
            "last_name": "MARCOLINI-BLYSKAL",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rosemary Logue, R.D.,M.S
• James P Longo, DC
• Frank Lovell III, LCADC
• Donna R Macri, PH.D.
• May Salvacion Alvarez Magistrado
• Marissa Sharkey Nutrition LLC
• Marsha Morris, PH.D.
• Sara Frances Marvin, PH.D.
• Anthony Masiello III, NBC-HWC
• Sam Mastrobattista, DMD

• Optometrist in Clinton, NJ
• Providers in Clinton, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.