Individual provider Active NPI

Stacie Morgan Beene, OD

  • Optometrist
  • Cherry Hill, NJ
National Provider Identifier
1922856145
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00729200 Issued in NJ
Practice address
1401 Marlton Pike E Ste 18
Cherry Hill, NJ 08034-2207
Phone
(856) 428-5797
Fax
(856) 428-6359
NPI assigned
May 13, 2024
Last updated
Jun 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00729200 NJ Primary

Addresses

Primary practice location

1401 Marlton Pike E Ste 18
Cherry Hill, NJ 08034-2207

Mailing address

420 Mountain Ave FL 4
New Providence, NJ 07974-2736
Phone (908) 458-8333

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
I20240626001880 NJ Practitioner - Optometry 4981148467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1401 Route 70 E
Suite 18
Cherry Hill, NJ 08034-2207
Phone (856) 428-5797

141 S Black Horse Pike
Blackwood, NJ 08012-2975
Phone (856) 227-6262

2 Capital Way
Pennington, NJ 08534-2521
Phone (609) 882-8833

251 S Lincoln Ave
Vineland, NJ 08361-7802
Phone (908) 258-7555

628 Cedar LN
Teaneck, NJ 07666-1704
Phone (201) 837-7300

650 S White Horse Pike
Suite a
Hammonton, NJ 08037-2008
Phone (609) 567-2355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Retinal Consultants LLC Optometrist CurrentSince Jul 15, 2024 Accepting new patients
Associated Retinal Consultants LLC Optometrist CurrentSince Jul 15, 2024 Accepting new patients

Locations

1401 Route 70 E
Ste 18
Cherry Hill, NJ 08034
Phone (856) 428-5797

303 Lippincott Dr
Marlton, NJ 08053

420 Mountain Ave
Fl 4
New Providnce, NJ 07974

2 Capital Way
Ste 326
Pennington, NJ 08534
Phone (609) 882-8833

69 1st Ave
Raritan, NJ 08869
Phone (800) 631-5250

628 Cedar Ln
Teaneck, NJ 07666
Phone (201) 837-7300

Interoperability endpoints

  • Direct secure messaging: sbeene@arcnj.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1922856145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 MOUNTAIN AVE FL 4",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079742736",
            "telephone_number": "908-458-8333",
            "fax_number": "908-967-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MARLTON PIKE E STE 18",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342207",
            "telephone_number": "856-428-5797",
            "fax_number": "856-428-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEENE",
        "first_name": "STACIE",
        "middle_name": "MORGAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00729200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.