Organization Active NPI

Theresa C. Fleming, O.D., P.C.

  • Optometrist
  • Pennsville, NJ
National Provider Identifier
1861631830
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NJ4130 Issued in NJ
Legal business name
THERESA C. FLEMING, O.D., P.C.
Practice address
101 North Broadway
Pennsville, NJ 08070-1618
Phone
(856) 678-2288
Fax
(856) 678-6466
NPI assigned
Feb 13, 2009
Last updated
Jul 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Authorized official

Name
Dr. Theresa C Fleming, O.D.NPI 1407853757
Title
Officer
Phone
(856) 678-2288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NJ4130 NJ Primary

Addresses

Primary practice location

101 North Broadway
Pennsville, NJ 08070-1618

Mailing address

101 North Broadway
Pennsville, NJ 08070-1618
Phone (856) 678-2288

National Provider Directory

National Provider Directory

Locations

101 N Broadway
Pennsville, NJ 08070
Phone (856) 678-2288

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1861631830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NORTH BROADWAY",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080701618",
            "telephone_number": "856-678-2288",
            "fax_number": "856-678-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NORTH BROADWAY",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080701618",
            "telephone_number": "856-678-2288",
            "fax_number": "856-678-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA C. FLEMING, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "856-678-2288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "NJ4130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennsville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.