FANWOOD EYE CARE LLC
NPI 1396281564
Optometrist in Fanwood, NJ
About Fanwood Eye Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FANWOOD EYE CARE LLC (NPI 1396281564) is a healthcare organization registered as an optometrist in Fanwood, New Jersey and active in the NPI registry since January 2017. The organization lists Kathy Shin, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fanwood Eye Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Fanwood Eye Care LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Fanwood Eye Care LLC's NPI number?
The NPI number for Fanwood Eye Care LLC is 1396281564. It was assigned to this organization in the NPPES registry on January 12, 2017.
Where is Fanwood Eye Care LLC located?
Fanwood Eye Care LLC is located at 246 South Ave #106, Fanwood, NJ 07023. The listed phone number is (978) 987-0698.
What is Fanwood Eye Care LLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Fanwood Eye Care LLC enrolled in Medicare?
Yes. Fanwood Eye Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fanwood Eye Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Fanwood Eye Care LLC. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Fanwood Eye Care LLC was last updated on November 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Fanwood Eye Care Llc · NPI 1396281564
Optometrist organization in Fanwood, New Jersey. Organization record, active in the CMS NPPES registry since January 12, 2017.
## Identity
- **NPI:** 1396281564 (Entity type: Organization)
- **Enumerated:** January 12, 2017
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Kathy Shin, OWNER
## Practice location
- **Address:** 246 SOUTH AVE, #106, Fanwood, NJ 07023-1220
- **Phone:** (978) 987-0698
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 7, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1396281564) · Data from the CMS NPPES public registry.