Ray Selbrena Corbin-Simon, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00591400 Issued in NJ

Practice address

1100 Centennial Ave Ste 204
Piscataway, NJ 08854-4152

Phone

(732) 981-8000

Fax

(732) 981-8070

NPI assigned

Dec 6, 2006

Last updated

Oct 2, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

In Focus VisionGroup PAC ID 0143282236, 2 clinicians

Eyecare Specialties Support of NJ PCGroup PAC ID 6800309287, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• In Focus Vision

  • Optometrist
  • Piscataway, NJ
  • NPI 1184822678
  Medicare reassignment Care Compare group NPD Authorized official
• Eyecare Specialties Support of NJ PC

  • Optometrist
  • Blackwood, NJ
  • NPI 1003601287
  Medicare reassignment Care Compare group NPD
• In Focus Eyecare, PA

  • Optometrist
  • Piscataway, NJ
  • NPI 1174987572
  Authorized official Same address or phone

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1871652081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CENTENNIAL AVE STE 204",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088544152",
            "telephone_number": "732-981-8000",
            "fax_number": "732-981-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CENTENNIAL AVE STE 204",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088544152",
            "telephone_number": "732-981-8000",
            "fax_number": "732-981-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBIN-SIMON",
        "first_name": "RAY",
        "middle_name": "SELBRENA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00591400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constant Care Inc
• Jacqueline Conte-Ainsworth
• Taheerah D Cooley, RN, IBCLC
• Sarosh Cooper
• Nina Cooperman, PSYD
• Joanne Corbo
• Stephanie Cornejo Lopez
• Jodie Cornwell
• Joseph Correia, AGPCNP-BC
• Dennis Costa, LCSW

• Optometrist in Piscataway, NJ
• Providers in Piscataway, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.