Individual provider Active NPI

Nicholas Xanthos, OD

  • Optometrist
  • East Hanover, NJ
National Provider Identifier
1992790166
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27T000109900 Issued in NJ
Practice address
46 Eagle Rock Ave
East Hanover, NJ 07936-3104
Phone
(973) 560-1500
Fax
(973) 560-0419
NPI assigned
Sep 14, 2005
Last updated
Jun 25, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27T000109900 NJ Primary

Addresses

Primary practice location

46 Eagle Rock Ave
East Hanover, NJ 07936-3104

Mailing address

46 Eagle Rock Ave
East Hanover, NJ 07936-3104
Phone (973) 560-1500

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
I20050726000583 NJ Practitioner - Optometry 2264469774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parsippany Eyecare Associates PAGroup PAC ID 5193807808, 12 clinicians

Practice addresses (Care Compare)

46 Eagle Rock Ave
East Hanover, NJ 07936-3104
Phone (973) 560-1500

Merit-based Incentive Payment System (MIPS)

Final score
88.15 of 100Reported as group
Quality
90
Improvement activities
40
Cost
73.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27T000109900NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Parsippany Eyecare Associates PA CurrentSince Jul 1, 2002 Accepting new patients
Ophthalmology NJ LLC PastSince Sep 1, 2008 Accepting new patients
Dr. Harold Wiener Optometrist P a Optometrist PastSince Jan 2, 2002 Accepting new patients

Locations

46 Eagle Rock Ave
East Hanover, NJ 07936
Phone (973) 560-1500

100 Morris Ave
Springfield, NJ 07081
Phone (973) 376-3151

825 E Gate Blvd
Ste 111
Garden City, NY 11530
Phone (516) 804-5200

Interoperability endpoints

  • Direct secure messaging: nxanthos@eyecare2020.updoxdirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277424000000",
    "number": "1992790166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 EAGLE ROCK AVE",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363104",
            "telephone_number": "973-560-1500",
            "fax_number": "973-560-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 EAGLE ROCK AVE",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363104",
            "telephone_number": "973-560-1500",
            "fax_number": "973-560-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XANTHOS",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2010-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27T000109900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hanover, NJ

Sources for this page

Verify at the official NPI Registry.