Eye Institute of South Jersey, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00581400 Issued in NJ

Legal business name

EYE INSTITUTE OF SOUTH JERSEY, P.C.

Practice address

3071 E Chestnut Ave
Suite B 6
Vineland, NJ 08361-7847

Phone

(856) 205-1100

Fax

(856) 205-1100

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Fawn C Pernelli

Title

Office Administrator

Phone

(856) 205-1100

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Terrance Keith Heacox Jr., O.D.

  • Optometrist
  • Vineland, NJ
  • NPI 1841320132
  Medicare reassignment Care Compare group NPD
• David Robert Pernelli, M.D.

  • Ophthalmology Physician
  • Vineland, NJ
  • NPI 1962446344
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1962525584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3071 E CHESTNUT AVE",
            "address_2": "SUITE B 6",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083617847",
            "telephone_number": "856-205-1100",
            "fax_number": "856-205-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3071 E CHESTNUT AVE",
            "address_2": "SUITE B 6",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083617847",
            "telephone_number": "856-205-1100",
            "fax_number": "856-205-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE INSTITUTE OF SOUTH JERSEY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PERNELLI",
        "authorized_official_first_name": "FAWN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "856-205-1100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00581400",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MA56275",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rashele Evans
• Evernear Healthcare Services LLC
• Excelcare Alliance, LLC
• Excellent Homecare of South Jersey
• Excellent Medical and School Supplies LLC
• Randall Barry Faber, PA-C
• Fabrizio Chiropractic LLC
• Theresa A Fabrizio, D.C.
• Sarah Fagbamigbe
• Brittany Fair, M.A., NCC

• Optometrist in Vineland, NJ
• Providers in Vineland, 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 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.