Individual provider Active NPI

Terrance Keith Heacox Jr., O.D.

  • Optometrist
  • Vineland, NJ
National Provider Identifier
1841320132
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00581400 Issued in NJ
Practice address
3071 E Chestnut Ave
Suite B 6
Vineland, NJ 08361-7847
Phone
(856) 205-1100
Fax
(856) 205-9163
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00581400 NJ Primary

Addresses

Primary practice location

3071 E Chestnut Ave
Suite B 6
Vineland, NJ 08361-7847

Mailing address

3071 E Chestnut Ave
Suite B 6
Vineland, NJ 08361-7847
Phone (856) 205-1100

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140729002547 NJ Practitioner - Optometry 4486870334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Institute of South Jersey, P.C.Group PAC ID 2769660190, 2 clinicians

Practice addresses (Care Compare)

3071 E Chestnut Ave
Suite B6
Vineland, NJ 08361-7847
Phone (856) 205-1100

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00581400NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Institute of South Jersey, P.C. Optometrist CurrentSince May 29, 2014 Accepting new patients

Locations

3071 E Chestnut Ave
Ste B6
Vineland, NJ 08361
Phone (856) 205-1100

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841320132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3071 E CHESTNUT AVE",
            "address_2": "SUITE B 6",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083617847",
            "telephone_number": "856-205-1100",
            "fax_number": "856-205-9163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3071 E CHESTNUT AVE",
            "address_2": "SUITE B 6",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083617847",
            "telephone_number": "856-205-1100",
            "fax_number": "856-205-9163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEACOX",
        "first_name": "TERRANCE",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00581400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.