NPIMap

Organization Active NPI

Optometric Physicians of Middletown PA

  • Optometrist
  • Eatontown, NJ
National Provider Identifier
1962080101
Registry record updated Nov 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OPTOMETRIC PHYSICIANS OF MIDDLETOWN PA
Practice address
178 Highway 35
Eatontown, NJ 07724-1883
Phone
(732) 542-3050
Fax
(732) 542-5999
NPI assigned
Mar 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2022

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

Authorized official

Name
James Wachter
Title
Authorized Official
Phone
(636) 200-4393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

178 Highway 35
Eatontown, NJ 07724-1883

Mailing address

PO Box 208944
Dallas, TX 75320-8944
Phone (636) 200-4393

Other practice location 1

359 Brick Blvd
Brick, NJ 08723-6010
Phone (732) 920-1330

Other practice location 2

443 Route 34 Ste F
Matawan, NJ 07747-9506
Phone (732) 583-3600

Other practice location 3

2204 Highway 35 Ste 9
Sea Girt, NJ 08750-2323
Phone (732) 223-2800

Other practice location 4

3013 Hwy 35
Hazlet, NJ 07730-1526
Phone (732) 739-4000

Other practice location 5

786 Highway 35
Middletown, NJ 07748-3410
Phone (732) 671-7300

Other practice location 6

35 Monmouth St
Red Bank, NJ 07701-1613
Phone (732) 530-5151

Other practice location 7

53 Kent Rd
Howell, NJ 07731-2452
Phone (732) 534-5622

Other practice location 8

1001 Route 70 Unit B1
Manchester, NJ 08759-5804
Phone (732) 657-1400

Other names 1

  • Clarkson Eyecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071008000370 NJ Part B Supplier - Clinic/Group Practice 8527153410 Receives reassigned benefits from 22 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Eatontown, NJ; Sea Girt, NJ; Red Bank, NJ; Middletown, NJ; Matawan, NJ; Manchester, NJ; Howell, NJ; Hazlet, NJ…

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Clarkson Eyecare8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

359 Brick Blvd
Ste 100
Brick, NJ 08723

53 Kent Rd
Howell, NJ 07731
Phone (732) 534-5622

1001 Route 70
Unit B1
Manchester, NJ 08759
Phone (732) 657-1400

786 State Route 35
Middletown, NJ 07748
Phone (732) 671-7300

2204 Highway 35
Ste 9
Sea Girt, NJ 08750
Phone (732) 223-2800

28 Main St
Ste 166
Toms River, NJ 08753

28 Main St
Toms River, NJ 08753
Phone (732) 240-2021

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668816000000",
    "number": "1962080101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208944",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753208944",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 HIGHWAY 35",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241883",
            "telephone_number": "732-542-3050",
            "fax_number": "732-542-5999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "359 Brick Blvd",
            "address_purpose": "LOCATION",
            "city": "Brick",
            "state": "NJ",
            "postal_code": "087236010",
            "country_code": "US",
            "telephone_number": "732-920-1330",
            "fax_number": "732-920-1330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "443 Route 34 Ste F",
            "address_purpose": "LOCATION",
            "city": "Matawan",
            "state": "NJ",
            "postal_code": "077479506",
            "country_code": "US",
            "telephone_number": "732-583-3600",
            "fax_number": "732-583-3770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2204 Highway 35 Ste 9",
            "address_purpose": "LOCATION",
            "city": "Sea Girt",
            "state": "NJ",
            "postal_code": "087502323",
            "country_code": "US",
            "telephone_number": "732-223-2800",
            "fax_number": "732-223-5121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3013 Hwy 35",
            "address_purpose": "LOCATION",
            "city": "Hazlet",
            "state": "NJ",
            "postal_code": "077301526",
            "country_code": "US",
            "telephone_number": "732-739-4000",
            "fax_number": "732-739-4002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "786 Highway 35",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NJ",
            "postal_code": "077483410",
            "country_code": "US",
            "telephone_number": "732-671-7300",
            "fax_number": "732-706-1605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Monmouth St",
            "address_purpose": "LOCATION",
            "city": "Red Bank",
            "state": "NJ",
            "postal_code": "077011613",
            "country_code": "US",
            "telephone_number": "732-530-5151",
            "fax_number": "732-842-6629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "53 Kent Rd",
            "address_purpose": "LOCATION",
            "city": "Howell",
            "state": "NJ",
            "postal_code": "077312452",
            "country_code": "US",
            "telephone_number": "732-534-5622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Route 70 Unit B1",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NJ",
            "postal_code": "087595804",
            "country_code": "US",
            "telephone_number": "732-657-1400",
            "fax_number": "732-657-1402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTOMETRIC PHYSICIANS OF MIDDLETOWN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2022-11-19",
        "certification_date": "2022-11-19",
        "status": "A",
        "authorized_official_last_name": "WACHTER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "636-200-4393"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarkson Eyecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clarkson Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eatontown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2022; 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.