Individual provider Active NPI

Harrison Phillip Bannett, DO

  • Ophthalmology Physician
  • Woodbury, NJ
National Provider Identifier
1851898381
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MB11890500 Issued in NJ
Practice address
620 North Broad Street
Woodbury, NJ 08096-1795
Phone
(856) 853-5554
Fax
(856) 853-5650
NPI assigned
Apr 11, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 25MB11890500 NJ
Ophthalmology Physician 207W00000X 25MB11890500 NJ Primary
Ophthalmology Physician 207W00000X 71130 CT

Addresses

Primary practice location

620 North Broad Street
Woodbury, NJ 08096-1795

Mailing address

620 North Broad Street
Woodbury, NJ 08096-1795
Phone (856) 853-5554

Other practice location 1

1233 Haddonfield Berlin Rd Ste 5
Voorhees, NJ 08043-4378
Phone (856) 853-5554

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230810000879 NJ Practitioner - Ophthalmology 9133500374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rowan University School of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bannett Eye Centers PAGroup PAC ID 7517913916, 3 clinicians

Practice addresses (Care Compare)

620 N Broad St
Suite 2
Woodbury, NJ 08096-1795
Phone (856) 853-5554

Merit-based Incentive Payment System (MIPS)

Final score
91.49 of 100Reported as group
Quality
98.73
Improvement activities
40
Cost
73.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery190
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB11890500NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bannett Eye Centers, PA Ophthalmology CurrentSince Jul 6, 2023 Accepting new patients
Neuropathy Pain Clinic of Fort Worth LLC Past Accepting new patients

Locations

1233 Haddonfield Berlin Rd
Ste 5
Voorhees, NJ 08043
Phone (856) 767-7800

620 N Broad St
Woodbury, NJ 08096
Phone (856) 602-4000

620 N Broad St
Ste 2
Woodbury, NJ 08096
Phone (856) 848-6188

Interoperability endpoints

  • Direct secure messaging: harrison.bannett@bannetteyecenters.direct.eyemdemr.com
  • Direct secure messaging: hbannett577495@direct.ynhh.org

Organizations & group practices 2

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": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1851898381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 NORTH BROAD STREET",
            "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 NORTH BROAD STREET",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961795",
            "telephone_number": "856-853-5554",
            "fax_number": "856-853-5650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1233 Haddonfield Berlin Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080434378",
            "country_code": "US",
            "telephone_number": "856-853-5554",
            "fax_number": "856-853-5650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANNETT",
        "first_name": "HARRISON",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-11",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "NJ",
            "license": "25MB11890500",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MB11890500",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "71130",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NJ

Sources for this page

Verify at the official NPI Registry.