NPIMap

Individual provider Active NPI

Harvey Wolbransky, OD

  • Optometrist
  • Pennsauken, NJ
National Provider Identifier
1801952866
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3730 Issued in NJ
Practice address
6981 N Park Dr Ste 101
Cooper River Square BLDG West
Pennsauken, NJ 08109-4201
Phone
(856) 488-4404
Fax
(856) 488-5207
NPI assigned
Dec 27, 2006
Last updated
Aug 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3730 NJ Primary

Addresses

Primary practice location

6981 N Park Dr Ste 101
Cooper River Square BLDG West
Pennsauken, NJ 08109-4201

Mailing address

6981 N Park Dr Ste 101
Cooper River Square BLDG West
Pennsauken, NJ 08109-4201
Phone (856) 488-4404

Other identifiers 6

IdentifierTypeStateIssuer
0072818000OtherAMERIHEALTH
1K8953OtherHEALTHNET
6807OtherDAVIS
96110OtherSPECTERA
33091OtherNJAETNA
2416905MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3730NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Joel Porter, M.D., L.L.C. Past Accepting new patients
Hammonton Family Eyecare, LLC Past Accepting new patients
Village Super Market of NJ LP Past Accepting new patients

Organizations & group practices 3

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1801952866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6981 N PARK DR STE 101",
            "address_2": "COOPER RIVER SQUARE BLDG WEST",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081094201",
            "telephone_number": "856-488-4404",
            "fax_number": "856-488-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6981 N PARK DR STE 101",
            "address_2": "COOPER RIVER SQUARE BLDG WEST",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081094201",
            "telephone_number": "856-488-4404",
            "fax_number": "856-488-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLBRANSKY",
        "first_name": "HARVEY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "3730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0072818000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1K8953",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS",
            "identifier": "6807",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "96110",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "33091",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2416905",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennsauken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.