Eye Care Center of Bordentown, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00575400 Issued in NJ

Legal business name

EYE CARE CENTER OF BORDENTOWN, LLC

Practice address

231 Crosswicks Rd Ste 1
Bordentown, NJ 08505-2602

Phone

(609) 379-6014

Fax

(609) 379-6037

NPI assigned

Mar 28, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Kerry L Williams, ODNPI 1275614265

Title

Optometrist

Phone

(609) 379-6014

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kerry L Williams, OD

  • Optometrist
  • Bordentown, NJ
  • NPI 1275614265
  Medicare reassignment Care Compare group NPD Authorized official
• Allisia Williamson, OD

  • Optometrist
  • Ewing, NJ
  • NPI 1821156845
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1811230857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 CROSSWICKS RD STE 1",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052602",
            "telephone_number": "609-379-6014",
            "fax_number": "609-379-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 CROSSWICKS RD STE 1",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052602",
            "telephone_number": "609-379-6014",
            "fax_number": "609-379-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE CENTER OF BORDENTOWN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "609-379-6014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00575400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elyse G Carty Robert W Carty
• Empowerment Home
• Alexandra Esposito, M.ED., LAC
• Denise Guyer Evans, CHIROPRACTIC DC
• Meredith Reiner Evans, L.AC
• Sadaf Bashir Farooq, MD
• Mohammad Imran Farooqi, PHARMD
• Jennifer C Fimiani
• Kristina Lynn Finney
• Dusty Lynn Floyd, MS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.