Individual provider Active NPI

Lauren Kitzhoffer Mullen, O.D.

  • Optometrist
  • Iselin, NJ
National Provider Identifier
1972769040
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00611800 Issued in NJ
Practice address
485 Route 1 S
BLDG a
Iselin, NJ 08830-3009
Phone
(732) 750-0400
Fax
(732) 602-0749
NPI assigned
Jul 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00611800 NJ Primary

Addresses

Primary practice location

485 Route 1 S
BLDG a
Iselin, NJ 08830-3009

Mailing address

485 Route 1 S
BLDG a
Iselin, NJ 08830-3009
Phone (732) 750-0400

Other names 1

  • Dr. Lauren Kitzhoffer Other name

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
I20090507000026 NJ Practitioner - Optometry 9830247592 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Eye Medford LLCGroup PAC ID 2961865332, 5 clinicians
Premier Eye Associates LLCGroup PAC ID 2961624358, 6 clinicians
Premier Eye Marlton, LLCGroup PAC ID 2062891781, 6 clinicians

Practice addresses (Care Compare)

200 Tuckerton Rd
Suite 3
Medford, NJ 08055-8806
Phone (856) 983-8887

571 Haddon Ave
Collingswood, NJ 08108-1445
Phone (856) 858-3937

701 Route 73 N 3
Premier Eye Associates
Marlton, NJ 08053-3466
Phone (856) 858-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00611800NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard S Kresloff,MD, PA Optometrist CurrentSince Jul 11, 2016 Accepting new patients
Richard S. Kresloff MD PA CurrentSince Jul 11, 2016 Accepting new patients
Premier Eye Marlton, LLC Optometrist CurrentSince Feb 3, 2025 Accepting new patients
Premier Eye Medford LLC Optometrist CurrentSince Mar 2, 2025 Accepting new patients
Premier Eye Associates, LLC Optometrist CurrentSince Feb 3, 2025 Accepting new patients
Omni Eye Surgery of New York PC Past Accepting new patients

Locations

571 Haddon Ave
Haddon Township, NJ 08108

1055 Haddon Ave
Haddon Township, NJ 08108
Phone (856) 854-4242

701 Route 73 N
Ste 3
Marlton, NJ 08053
Phone (856) 988-1118

200 Tuckerton Rd
Ste 3
Medford, NJ 08055
Phone (856) 983-8887

200 Tuckerton Rd
Ste 6
Medford, NJ 08055
Phone (856) 983-8887

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1972769040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 ROUTE 1 S",
            "address_2": "BLDG A",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088303009",
            "telephone_number": "732-750-0400",
            "fax_number": "732-602-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 ROUTE 1 S",
            "address_2": "BLDG A",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088303009",
            "telephone_number": "732-750-0400",
            "fax_number": "732-602-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "LAUREN",
        "middle_name": "KITZHOFFER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00611800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "KITZHOFFER",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Iselin, NJ

Sources for this page

Verify at the official NPI Registry.