Individual provider Active NPI

Austin Molbegott, OD

  • Optometrist
  • Eatontown, NJ
National Provider Identifier
1891426714
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003942 Issued in PA
Practice address
300 Highway 35 Ste 300
Eatontown, NJ 07724-2216
Phone
(732) 222-7373
Fax
(732) 483-8214
NPI assigned
Jun 21, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 27OM00186900 NJ
Optometrist 152W00000X OEG003942 PA Primary

Addresses

Primary practice location

300 Highway 35 Ste 300
Eatontown, NJ 07724-2216

Mailing address

300 Highway 35 Ste 300
Eatontown, NJ 07724-2216
Phone (732) 222-7373

Other practice location 1

100 Commons Way Ste 230
Holmdel, NJ 07733-2935
Phone (732) 796-7140

Other practice location 2

1963 Highway 34 Ste 101
Wall Township, NJ 07719-9777
Phone (732) 223-6555

Other practice location 3

180 White Rd Ste 202
Little Silver, NJ 07739-1166
Phone (732) 219-9220

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241021000090 NJ Practitioner - Optometry 6709228851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Eye Physicians, PAGroup PAC ID 5193774081, 12 clinicians

Practice addresses (Care Compare)

300 Hwy 35
Eatontown, NJ 07724-2216
Phone (732) 222-7373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OM00186900NJMDOptometrist
OEG003942PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Eye Physicians, PA Single Specialty CurrentSince Aug 29, 2024 Accepting new patients
Atlantic Surgery Center,LLC PastSince Jul 28, 2024 Accepting new patients

Locations

300 Highway 35
Eatontown, NJ 07724
Phone (732) 219-9220

300 Highway 35
Ste 300
Eatontown, NJ 07724
Phone (732) 222-7373

100 Commons Way
Ste 230
Holmdel, NJ 07733
Phone (732) 222-7373

180 White Rd
Ste 202
Little Silver, NJ 07739
Phone (732) 219-9220

1963 State Route 34
Ste 101
Wall Township, NJ 07719
Phone (732) 222-7373

Interoperability endpoints

  • Direct secure messaging: amolbegott@atlanticeyephysicians.intellechartdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1891426714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HIGHWAY 35 STE 300",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242216",
            "telephone_number": "732-222-7373",
            "fax_number": "732-483-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HIGHWAY 35 STE 300",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242216",
            "telephone_number": "732-222-7373",
            "fax_number": "732-483-8214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Commons Way Ste 230",
            "address_purpose": "LOCATION",
            "city": "Holmdel",
            "state": "NJ",
            "postal_code": "077332935",
            "country_code": "US",
            "telephone_number": "732-796-7140",
            "fax_number": "732-796-7226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1963 Highway 34 Ste 101",
            "address_purpose": "LOCATION",
            "city": "Wall Township",
            "state": "NJ",
            "postal_code": "077199777",
            "country_code": "US",
            "telephone_number": "732-223-6555",
            "fax_number": "732-223-6555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 White Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Little Silver",
            "state": "NJ",
            "postal_code": "077391166",
            "country_code": "US",
            "telephone_number": "732-219-9220",
            "fax_number": "732-219-9557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLBEGOTT",
        "first_name": "AUSTIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-21",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OM00186900",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

Verify at the official NPI Registry.