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DR. RANDY S NISSINOFF OD
NPI 1023061348
Optometrist in Toms River, NJ

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
1278 HOOPER AVE, TOMS RIVER, NJ 08753(732) 505-0533(732) 505-6572 Get Directions Write a Review

NPPES record last updated: May 9, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Randy S Nissinoff Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RANDY S NISSINOFF OD (NPI 1023061348) is an individual optometrist in Toms River, New Jersey, licensed in New Jersey (27OA00506100) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1990).

NPPES Registry Identity

NPI1023061348
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. RANDY S NISSINOFFCredential: OD
Location Address1278 HOOPER AVEToms River, NJ 08753-3324
Mailing Address1278 Hooper AveToms River, NJ 08753-3324 · (732) 505-0533 · Fax (732) 505-6572
Phone(732) 505-0533
Fax(732) 505-6572
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1990
Enumeration DateMay 18, 2006
Last NPPES UpdateMay 9, 2008
✔ NPI 1023061348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NJ · 27OA00506100
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1278 HOOPER AVE, Toms River, NJ 08753
Open in Google Maps ↗

Other Identifiers 20

Other043721860NJ · Tax Identification
Other1316769NJ · Aetna
Other203095550NJ · Tax Identification
Other2855956NJ · Aetna
Other23793NJ · Nva
Other1316770NJ · Aetna
Other62810NJ · Local 825 Operating Engineers
Other23545NJ · Nva
Other510661700NJ · Tax Identification
Medicare UPINU00832MD
Other204100926NJ · Tax Identification
Other223791991NJ · Tax Identification
Other22678NJ · Nva
Other23731NJ · Nva
Other311501NJ · Nva
Other3843273NJ · Aetna
Other911575NJ · Eye Med
Other1316771NJ · Aetna
Other204100761NJ · Tax Identification
Medicare PIN621663NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Randy S Nissinoff Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365429875
PECOS Enrollment IDI20061221000226
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Randy Nissinoff reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eyewellniss
55 mi
Health Service
112 EISENHOWER PKWY STE 44
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
  • 14 clinicians in this Medicare group
NPI 1578298535 (973) 535-3344

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08753 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEYEYE INC.
Durable Medical Equipment & Medical Supplies
1278 HOOPER AVE
TOMS RIVER, NJ 08753
Ocean County (732) 505-0533
THE EYE HEALTH GROUP OF TOMS RIVER, INC
Optometrist
1278 HOOPER AVE
TOMS RIVER, NJ 08753
Ocean County (732) 505-0533
DR. EPIFANIO I SUNGA OD
Optometrist
1278 HOOPER AVE
TOMS RIVER, NJ 08753
Ocean County (732) 505-0533
DR. MICHAEL J IULIANO OD
Optometrist
1278 HOOPER AVE
TOMS RIVER, NJ 08753
Ocean County (732) 505-0533

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randy Nissinoff's NPI number?

The NPI number for Randy Nissinoff is 1023061348. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Randy Nissinoff located?

Randy Nissinoff practices at 1278 Hooper Ave, Toms River, NJ 08753. The listed phone number is (732) 505-0533.

What is Randy Nissinoff's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Randy Nissinoff enrolled in Medicare?

Yes. Randy Nissinoff is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Randy Nissinoff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randy Nissinoff reassigns Medicare benefits to Eyewellniss (Livingston, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Randy Nissinoff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Randy Nissinoff accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Randy Nissinoff as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Randy Nissinoff was last updated on May 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.