Individual provider Active NPI

Frank R Bucciero, OD

  • Optometrist
  • Springfield, NJ
National Provider Identifier
1861470601
Registry record updated Feb 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
270A00454500 Issued in NJ
Practice address
100 Morris Ave
Springfield, NJ 07081
Phone
(973) 376-3151
Fax
(973) 376-3153
NPI assigned
Jan 3, 2006
Last updated
Feb 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 270A00454500 NJ Primary

Addresses

Primary practice location

100 Morris Ave
Springfield, NJ 07081

Mailing address

100 Morris Ave
BLDG a
Springfield, NJ 07081
Phone (973) 376-3151

Other identifiers 1

IdentifierTypeStateIssuer
0734608MedicaidNJ

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
I20101005000274 NJ Practitioner - Optometry 8729033196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Morris Ave
Family Vision Care
Springfield, NJ 07081-1427
Phone (973) 376-3151

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
270A00454500NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Frank Bucciero OD CurrentSince Dec 16, 1999 Accepting new patients
Omni Eye Specialists P a Past Accepting new patients

Locations

100 Morris Ave
Springfield, NJ 07081
Phone (973) 376-3151

100 Morris Ave
Bldg A
Springfield, NJ 07081

100 Morris Ave
Ste 100
Springfield, NJ 07081
Phone (973) 218-9050

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267315200000",
    "number": "1861470601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MORRIS AVE",
            "address_2": "BLDG A",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "07081",
            "telephone_number": "973-376-3151",
            "fax_number": "973-376-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MORRIS AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "07081",
            "telephone_number": "973-376-3151",
            "fax_number": "973-376-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCCIERO",
        "first_name": "FRANK",
        "middle_name": "R",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2010-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00454500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0734608",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

Verify at the official NPI Registry.