1. Home
  2. Directory
  3. New Jersey
  4. Budd Lake
  5. Optometrist
  6. NPI Profile

DAVID ALEX SAMUEL O.D.
NPI 1073921508
Optometrist in Budd Lake, NJ

Active since July 28, 2014PECOS EnrolledAccepts Medicare Assignment
28 VILLAGE GRN, APT E, BUDD LAKE, NJ 07828(914) 500-3962(732) 748-8734 Get Directions Write a Review

NPPES record last updated: September 29, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About David Alex Samuel O.d. NPPES

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

DAVID ALEX SAMUEL O.D. (NPI 1073921508) is an individual optometrist in Budd Lake, New Jersey, licensed in New Jersey (27OA00654700) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1073921508
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDAVID ALEX SAMUELCredential: O.D.
Location Address28 VILLAGE GRN, APT EBudd Lake, NJ 07828-1328
Mailing Address28 Village Grn, Apt EBudd Lake, NJ 07828-1328 · (914) 500-3962 · Fax (732) 748-8734
Phone(914) 500-3962
Fax(732) 748-8734
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 28, 2014
Last NPPES UpdateSeptember 29, 2016
✔ NPI 1073921508 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 · 27OA00654700
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.
28 VILLAGE GRN, Budd Lake, NJ 07828
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Blue Cross and Blue Shield of Louisiana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Alex Samuel O.d. 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 ID9032338140
PECOS Enrollment IDI20140922001530
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
17 services17 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07828 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

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 David Samuel's NPI number?

The NPI number for David Samuel is 1073921508. It was assigned to this individual provider in the NPPES registry on July 28, 2014.

Where is David Samuel located?

David Samuel practices at 28 Village Grn Apt E, Budd Lake, NJ 07828. The listed phone number is (914) 500-3962.

What is David Samuel's specialty?

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

Is David Samuel enrolled in Medicare?

Yes. David Samuel 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.

What insurance does David Samuel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list David Samuel 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 David Samuel was last updated on September 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.