Individual provider Active NPI

Eugene B Frank, O.D

  • Optometrist
  • Vineland, NJ
National Provider Identifier
1922154889
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00396300 Issued in NJ
Practice address
750 E Landis Ave
Vineland, NJ 08360-8009
Phone
(856) 691-1891
Fax
(856) 691-5322
NPI assigned
Jan 25, 2007
Last updated
Jan 4, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00396300 NJ Primary

Addresses

Primary practice location

750 E Landis Ave
Vineland, NJ 08360-8009

Mailing address

750 E Landis Ave
Vineland, NJ 08360-8009
Phone (856) 691-1891

Other identifiers 1

IdentifierTypeStateIssuer
1174908MedicaidNJ

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
I20050803000007 NJ Practitioner - Optometry 3375571011 Practice locations: Vineland, NJ

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

750 E Landis Ave
Vineland, NJ 08360-8009
Phone (609) 691-1891

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1922154889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E LANDIS AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608009",
            "telephone_number": "856-691-1891",
            "fax_number": "856-691-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E LANDIS AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608009",
            "telephone_number": "856-691-1891",
            "fax_number": "856-691-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANK",
        "first_name": "EUGENE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00396300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174908",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.