Bannett Eye Centers PA

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

BANNETT EYE CENTERS PA

Practice address

620 N Broad St
Woodbury, NJ 08096-1795

Phone

(856) 853-5554

Fax

(856) 853-5650

NPI assigned

Aug 5, 2006

Last updated

Dec 16, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

BANNETT EYE CENTERS, PAAs reported in NPPES

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

Authorized official

Name

Julie Blinderman Bannett

Title

Practice Administrator

Phone

(856) 853-5554

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Bannett Eye Centers, PA

  • Ophthalmology Physician
  • Woodbury, NJ
  • NPI 1437208287

  7517913916

  Same PAC ID

Tax ID family

Bannett Eye Centers PA2 organizations share this tax ID, including this one

Part of

Bannett Eye Centers PA

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bannett Eye Centers, PA

  • Ophthalmology Physician
  • Woodbury, NJ
  • NPI 1437208287
  NPD tax ID

Locations

Interoperability endpoints

• Direct secure messaging: gregg.bannett@bannetteyecenters.direct.eyemdemr.com

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Bannett Eye Centers, PA

  • Ophthalmology Physician
  • Woodbury, NJ
  • NPI 1437208287
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregg Allen Bannett, DO

  • Ophthalmology Physician
  • Woodbury, NJ
  • NPI 1720097157

  Specialist

  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671148800000",
    "number": "1821007261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N BROAD ST",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961795",
            "telephone_number": "856-853-5554",
            "fax_number": "856-853-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N BROAD ST",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961795",
            "telephone_number": "856-853-5554",
            "fax_number": "856-853-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANNETT EYE CENTERS PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNETT EYE CENTERS, PA",
        "enumeration_date": "2006-08-05",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "BANNETT",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "BLINDERMAN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "856-853-5554"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MB04846500",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gregg.bannett@bannetteyecenters.direct.eyemdemr.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "620 N Broad St",
            "city": "Woodbury",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080961795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Avenues to Independent Living
• Morgen-Ashlee Backus, CNS, LDN
• Emily Bacon, APN-C
• Jennie Baile, LCSW
• Samantha Baney, MA, LAC
• Bannett Eye Centers, PA
• Gregg Allen Bannett, DO
• Harrison Phillip Bannett, DO
• Julia Bardales, LMFT, MT-BC
• Jessica Barner

• Eyewear Supplier in Woodbury, NJ
• Providers in Woodbury, NJ by specialty
• Eyewear Supplier in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.