Eye Institute Of South Jersey, P.c. is a medicare enrolled "Ophthalmology" provider in Vineland, New Jersey. Their current practice location is
3071 E Chestnut Ave, Suite B 6, Vineland, New Jersey. You can reach out to their office (for appointments etc.) via phone at
(856) 205-1100.
Eye Institute Of South Jersey, P.c. is licensed to practice in New Jersey (license number MA56275) and it also participates in the medicare program. Eye Institute Of South Jersey, P.c.
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1962525584.
Healthcare Provider's Profile
Full Name | Eye Institute Of South Jersey, P.c. |
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Type | Facility |
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Speciality | Ophthalmology |
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Location | 3071 E Chestnut Ave, Vineland, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962525584
- Provider Enumeration Date: 04/09/2007
- Last Update Date: 08/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 2769660190
- Enrollment ID: O20110707000019
Medical Identifiers
Medical identifiers for Eye Institute Of South Jersey, P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962525584 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 27OA00581400 (New Jersey) | Primary |
207W00000X | Ophthalmology | MA56275 (New Jersey) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Eye Institute Of South Jersey, P.c. acts as a billing entity for following providers:
Provider Name | David R Pernelli |
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Provider Type | Practitioner - Ophthalmology |
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Provider Identifiers | NPI Number: 1962446344 PECOS PAC ID: 9234198441 Enrollment ID: I20041005000041 |
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Provider Name | Terrance Keith Heacox |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1841320132 PECOS PAC ID: 4486870334 Enrollment ID: I20140729002547 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Eye Institute Of South Jersey, P.c. is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Eye Institute Of South Jersey, P.c. 3071 E Chestnut Ave, Suite B 6, Vineland, NJ 08361-7847 Ph: (856) 205-1100 | Eye Institute Of South Jersey, P.c. 3071 E Chestnut Ave, Suite B 6, Vineland, NJ 08361-7847 Ph: (856) 205-1100 |
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