NPIMap

Organization Active NPI

Eye Physicians PC

  • Ophthalmology Physician
  • Sewell, NJ
National Provider Identifier
1861743262
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA05801400 Issued in NJ
Legal business name
EYE PHYSICIANS PC
Practice address
445 Hurffville Crosskeys Rd Suite B14
Sewell, NJ 08080-2337
Phone
(856) 589-4545
Fax
(856) 589-6210
NPI assigned
Sep 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Authorized official

Name
Dr. John D Dugan Jr., M.D.NPI 1699717553
Title
Manager
Phone
(856) 589-4545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 25MA05801400 NJ Primary

Addresses

Primary practice location

445 Hurffville Crosskeys Rd Suite B14
Sewell, NJ 08080-2337

Mailing address

1140 White Horse Rd
Suite 1
Voorhees, NJ 08043-2106
Phone (856) 784-3366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121031000470 NJ DME Supplier - Physician - Ophthalmology 8224930201 Practice locations: Sewell, NJ

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Eye Physicians PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

401 Kings Hwy S
Ste 2B
Cherry Hill, NJ 08034
Phone (856) 795-4040

389 Ganttown Rd
Ste D
Sewell, NJ 08080
Phone (856) 589-4545

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1861743262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 WHITE HORSE RD",
            "address_2": "SUITE 1",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432106",
            "telephone_number": "856-784-3366",
            "fax_number": "856-784-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 HURFFVILLE CROSSKEYS RD SUITE B14",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802337",
            "telephone_number": "856-589-4545",
            "fax_number": "856-589-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-25",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "DUGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "856-589-4545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA05801400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.