Haddonfield Vision P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00448100 Issued in NJ

Legal business name

HADDONFIELD VISION P.C.

Practice address

57B Kings Hwy E
Haddonfield, NJ 08033-2001

Phone

(856) 427-0788

Fax

(856) 216-9032

NPI assigned

Jun 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Judson Moon, O.D.NPI 1447288790

Title

President

Phone

(856) 427-7206

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://haddonfieldvision.ef.prod.fhir.ema-api.com/fhir/r4/

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Judson Moon, O.D.

  • Optometrist
  • Haddonfield, NJ
  • NPI 1447288790
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1881639391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57B KINGS HWY E",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332001",
            "telephone_number": "856-427-0788",
            "fax_number": "856-216-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57B KINGS HWY E",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332001",
            "telephone_number": "856-427-0788",
            "fax_number": "856-216-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HADDONFIELD VISION P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "JUDSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-427-7206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00448100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lisa Hardenbrook, LCSW
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• Sarah Hastings, IBCLC
• Brittany Nicole Haug, L.AC
• Jordan Heiden

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.