Organization Active NPI

Dr. Mo'S Eye Care

  • Optometrist
  • Deptford, NJ
National Provider Identifier
1861785701
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR. MO'S EYE CARE
Practice address
2000 Clements Bridge Rd Ste 116
Deptford, NJ 08096-2016
Phone
(856) 384-2501
Fax
(856) 384-2503
NPI assigned
May 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Authorized official

Name
Kelly Molock-Herold, O.D
Title
Optometrist
Phone
(856) 577-3471

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X

Addresses

Primary practice location

2000 Clements Bridge Rd Ste 116
Deptford, NJ 08096-2016

Mailing address

2433 Lafayette Ave
Roslyn, PA 19001-4206
Phone (856) 577-3471

National Provider Directory

National Provider Directory

Locations

2000 Clements Bridge Rd
#11
Woodbury, NJ 08096
Phone (856) 845-7011

NPI Registry JSON

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1861785701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2433 LAFAYETTE AVE",
            "city": "ROSLYN",
            "state": "PA",
            "postal_code": "190014206",
            "telephone_number": "856-577-3471",
            "fax_number": "215-884-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CLEMENTS BRIDGE RD STE 116",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080962016",
            "telephone_number": "856-384-2501",
            "fax_number": "856-384-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MO'S EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "MOLOCK-HEROLD",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "856-577-3471",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deptford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.