Individual provider Active NPI

Ellie K Patounas, O.D.

  • Optometrist
  • Freehold, NJ
National Provider Identifier
1811000367
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00610100 Issued in NJ
Practice address
500 W Main St
Freehold, NJ 07728-2500
Phone
(732) 462-8707
Fax
(732) 780-3699
NPI assigned
Aug 17, 2006
Last updated
Nov 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV-007038 NY
Optometrist 152W00000X OEG003361 PA
Optometrist 152W00000X 27OA00610100 NJ Primary

Addresses

Primary practice location

500 W Main St
Freehold, NJ 07728-2500

Mailing address

1 Holly Dr
Columbus, NJ 08022-1603
Phone (609) 203-6413

Other identifiers 2

IdentifierTypeStateIssuer
6783482OtherNJAETNA HMO
7183855OtherNJAETNA PPO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20070316000313 NY Practitioner - Optometry 6002919735 Reassigns benefits to 1 organization
I20080125000371 NJ Practitioner - Optometry 6002919735 Reassigns benefits to 2 organizations
I20181010000180 PA Practitioner - Optometry 6002919735 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sight Services PCGroup PAC ID 7315263365, 7 clinicians

Practice addresses (Care Compare)

100 Edella Rd
South Abington Township, PA 18411-1628
Phone (212) 764-0008

2100 N 49TH St
Philadelphia, PA 19131-2633
Phone (215) 877-1565

2150 Route 38
Cherry Hill, NJ 08002-4302
Phone (212) 764-0008

255 E Main St
Moorestown, NJ 08057-2982
Phone (212) 764-0008

280 Middle Holland Rd
Holland, PA 18966-4822
Phone (212) 764-0008

65 Jay St
Newark, NJ 07103-3235
Phone (973) 483-6800

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV-007038NYMDOptometrist
007038NYMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey L. Morer, OD, PC Optometrist CurrentSince Oct 7, 2024 Accepting new patients
Jeffrey L. Morer, OD, PC Optometrist CurrentSince Oct 7, 2024 Accepting new patients
Jeffrey L. Morer, OD, PC Optometrist CurrentSince Oct 7, 2024 Accepting new patients
Sightrite Inc Optometrist CurrentSince Sep 1, 2018 Accepting new patients
Sight Services P.C. Optometrist CurrentSince Aug 22, 2018 Accepting new patients
State of New York Comptrollers Office Past Accepting new patients

Locations

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

65 Jay St
Newark, NJ 07103
Phone (973) 447-8882

135 S Center St
Orange, NJ 07050
Phone (973) 266-3000

103 Carnegie Ctr
Ste 300
Princeton, NJ 08540
Phone (609) 524-2514

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

236 Broadway
Ste 220
Brooklyn, NY 11211

7144 Yellowstone Blvd
Forest Hills, NY 11375
Phone (718) 544-4300

1 Long Beach Rd
Island Park, NY 11558
Phone (516) 432-0300

134 Great East Neck Rd
West Babylon, NY 11704
Phone (631) 321-3850

12 Penns Trl
Ste 154
Newtown, PA 18940
Phone (215) 675-3005

100 Edella Rd
South Abington Township, PA 18411
Phone (570) 586-1002

Organizations & group practices 6

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1811000367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOLLY DR",
            "city": "COLUMBUS",
            "state": "NJ",
            "postal_code": "080221603",
            "telephone_number": "609-203-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282500",
            "telephone_number": "732-462-8707",
            "fax_number": "732-780-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATOUNAS",
        "first_name": "ELLIE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV-007038",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003361",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00610100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "6783482",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7183855",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.