Individual provider Active NPI

Bradford R Ripps, O.D.

  • Corneal and Contact Management Optometrist
  • Lake Hopatcong, NJ
National Provider Identifier
1992749519
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OA 04382 Issued in NJ
Practice address
681 Route 15 South
Lake Hopatcong, NJ 07849-2038
Phone
(973) 663-0800
Fax
(973) 663-0103
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OA 04382 NJ Primary

Addresses

Primary practice location

681 Route 15 South
Lake Hopatcong, NJ 07849-2038

Mailing address

681 Route 15 South
Lake Hopatcong, NJ 07849-2038
Phone (973) 663-0800

Other identifiers 2

IdentifierTypeStateIssuer
40776OtherNJAETNA
174574OtherNJUNITED HEALTHCARE

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
I20040607001346 NJ Practitioner - Optometry 5698764173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Eye Care IncGroup PAC ID 8729077201, 5 clinicians

Practice addresses (Care Compare)

681 Route 15 S
Lake Hopatcong, NJ 07849-2038

681 State Route 15 S
Lake Hopatcong, NJ 07849-2038
Phone (973) 663-0800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OA 04382NJMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Eye Care Inc Corneal and Contact Management CurrentSince Dec 1, 1994 Accepting new patients

Locations

681 State Route 15 S
Lk Hopatcong, NJ 07849
Phone (973) 663-0800

Organizations & group practices 1

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1992749519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 ROUTE 15 SOUTH",
            "city": "LAKE HOPATCONG",
            "state": "NJ",
            "postal_code": "078492038",
            "telephone_number": "973-663-0800",
            "fax_number": "973-663-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 ROUTE 15 SOUTH",
            "city": "LAKE HOPATCONG",
            "state": "NJ",
            "postal_code": "078492038",
            "telephone_number": "973-663-0800",
            "fax_number": "973-663-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIPPS",
        "first_name": "BRADFORD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NJ",
            "license": "OA 04382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "40776",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "174574",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Hopatcong, NJ

Sources for this page

Verify at the official NPI Registry.