DR. JACK SOL MERMELSTEIN OD
NPI 1184643843
Optometrist in Fair Lawn, NJ

Q: What is Jack Mermelstein's NPI number?

The NPI number for Jack Mermelstein is 1184643843. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Q: What is Jack Mermelstein's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jack Mermelstein was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since July 19, 2006PECOS Enrolled

4-14 SADDLE RIVER RD, SUITE 202, FAIR LAWN, NJ 07410(201) 797-2747(201) 797-5809 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Jack Sol Mermelstein Od NPPES

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

DR. JACK SOL MERMELSTEIN OD (NPI 1184643843) is an individual optometrist in Fair Lawn, New Jersey, licensed in New Jersey (3650) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184643843

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. JACK SOL MERMELSTEINCredential: OD

Location Address4-14 SADDLE RIVER RD, SUITE 202Fair Lawn, NJ 07410-5632

Mailing Address4-14 Saddle River Rd, Suite 202Fair Lawn, NJ 07410-5632 · (201) 797-2747 · Fax (201) 797-5809

Phone(201) 797-2747

Fax(201) 797-5809

Sole ProprietorNo

Enumeration DateJuly 19, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1184643843 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 · 3650

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.

4-14 SADDLE RIVER RD, Fair Lawn, NJ 07410

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Other Identifiers 3

Medicaid0683302NJ

Medicare UPINU26851NJ

Medicare ID-Type Unspecified521296NJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jack Sol Mermelstein Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jack Mermelstein reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Home Vision Group LLC

Same address

Optometrist

4-14 SADDLE RIVER RD, SUITE 202
Fair Lawn, NJ 07410

Reassigned Medicare billing, New Jersey enrollment
11 clinicians in this Medicare group

NPI 1609067230 (201) 797-2747

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 07410 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

100%27 patients5/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

100%91 patients5/55-star benchmark: 100%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

100%23 patients5/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

95%570 patients4/55-star benchmark: 99%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

99%570 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

45%570 patients4/55-star benchmark: 59%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 17

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

JENNINE DORSE O.D.

Optometrist

4-14 SADDLE RIVER RD
FAIR LAWN, NJ 07410

Bergen County (215) 360-7198

NORTH JERSEY COLON & RECTAL SURGICAL ASSOCIATES PA

Colon & Rectal Surgery

4-14 SADDLE RIVER RD
FAIR LAWN, NJ 07410

Bergen County (201) 791-4002

JOHN C MCCONNELL M.D.

Colon & Rectal Surgery

4-14 SADDLE RIVER RD
FAIR LAWN, NJ 07410

Bergen County (201) 791-4002

MARTIN N WEINER, MD PA

Psychiatry & Neurology (Psychiatry)

4-14 SADDLE RIVER RD, SUITE #203
FAIR LAWN, NJ 07410

Bergen County (201) 796-5352

MOBILE VISION GROUP LLC

Optometrist

4-14 SADDLE RIVER RD, SUITE 202
FAIR LAWN, NJ 07410

Bergen County (201) 797-2747

DR. RICHARD T. BRAVER DPM

Podiatrist (Foot & Ankle Surgery)

4-14 SADDLE RIVER RD, SUITE 101
FAIR LAWN, NJ 07410

Bergen County (201) 791-1881

DR. MARY ANN HODLE O.D.

Optometrist

4-14 SADDLE RIVER RD, SUITE 202
FAIR LAWN, NJ 07410

Bergen County (201) 797-2747

RESIDENT EYE CARE ASSOCIATES, LLC

Optometrist

4-14 SADDLE RIVER RD, SUITE 202
FAIR LAWN, NJ 07410

Bergen County (201) 797-2747

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 Jack Mermelstein's NPI number?

The NPI number for Jack Mermelstein is 1184643843. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Jack Mermelstein located?

Jack Mermelstein practices at 4-14 Saddle River Rd Suite 202, Fair Lawn, NJ 07410. The listed phone number is (201) 797-2747.

What is Jack Mermelstein's specialty?

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

Is Jack Mermelstein enrolled in Medicare?

Yes. Jack Mermelstein is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jack Mermelstein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Mermelstein reassigns Medicare benefits to Home Vision Group LLC (Fair Lawn, 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 Jack Mermelstein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jack Mermelstein was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.