Sam Khoury, OPTOMETRIST

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00659100 Issued in NJ

Practice address

4403 Black Horse Pike Ste 2093
Mays Landing, NJ 08330-3176

Phone

(609) 484-0060

NPI assigned

Apr 30, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Campus Eye Group ASC, LLC

  • Ophthalmologic Surgery Clinic/Center
  • Hamilton SQ, NJ
  • NPI 1134101256
  NPD
• Campus Eye Group, LLC

  • Optometrist
  • Hamilton Square, NJ
  • NPI 1447232913
  NPD
• Campus Eye Group, LLC

  • Optometrist
  • Hamilton Square, NJ
  • NPI 1891432878
  NPD

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590192000000",
    "number": "1962889741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 BLACK HORSE PIKE STE 2093",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083303176",
            "telephone_number": "609-484-0060",
            "fax_number": "609-855-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 BLACK HORSE PIKE STE 2093",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083303176",
            "telephone_number": "609-484-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOURY",
        "first_name": "SAM",
        "credential": "OPTOMETRIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-30",
        "last_updated": "2020-05-23",
        "certification_date": "2020-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP - 100327",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00659100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen J Solofsky, O.D. LLC
• Lydia Karp, MD
• Norah Rose Keenan
• Keep It Together, LLC
• Joseph Kerstetter, LSW
• Elizabeth Anne Killmeyer, PT
• Susanna Kaitlyn Kines-Jones, LAC
• Jaclyn Klepadlo, BSDH, RDH
• Klingert Chiropractic Wellness Center, LLC
• Alisun A Klingert, DC

• Optometrist in Mays Landing, NJ
• Providers in Mays Landing, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.