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DENISE BALACICH OD
NPI 1619319266
Optometrist in Holmdel, NJ

Active since July 24, 2013PECOS EnrolledAccepts Medicare Assignment
733 N BEERS ST, SUITE U4, HOLMDEL, NJ 07733(732) 739-0707(732) 739-6722 Get Directions Write a Review

NPPES record last updated: May 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Denise Balacich Od NPPES

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

DENISE BALACICH OD (NPI 1619319266) is an individual optometrist in Holmdel, New Jersey, licensed in New Jersey (27OA00647700) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2013).

NPPES Registry Identity

NPI1619319266
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDENISE BALACICHCredential: OD
Location Address733 N BEERS ST, SUITE U4Holmdel, NJ 07733
Mailing Address733 N Beers St, Suite U4Holmdel, NJ 07733-1528 · (732) 739-0707 · Fax (732) 739-6722
Phone(732) 739-0707
Fax(732) 739-6722
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2013
Enumeration DateJuly 24, 2013
Last NPPES UpdateMay 30, 2018
✔ NPI 1619319266 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 · 27OA00647700
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.
733 N BEERS ST, Holmdel, NJ 07733
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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 Montana 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

Denise Balacich 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 ID8729204714
PECOS Enrollment IDI20140729000053
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 5

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.
65 services56 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
51 services48 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
41 services27 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.
19 services19 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07733 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 20

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

MR. JASON I STEINFELD MD
Ophthalmology
733 N BEERS ST, STE 04
HOLMDEL, NJ 07733
Monmouth County (732) 739-0707
CUNNINGHAM ORTHOPAEDICS LLC
Orthopaedic Surgery
733 N BEERS ST, SUITE L-3
HOLMDEL, NJ 07733
Monmouth County (732) 264-5454
ANTOUN ASSOCIATES, P.A.
Urology
733 N BEERS ST, SUITE L 6
HOLMDEL, NJ 07733
Monmouth County (732) 739-2200
MR. SAID A SAMRA MD
Specialist
733 N BEERS ST, SUITE U1
HOLMDEL, NJ 07733
Monmouth County (732) 739-2100
DR. MICHAEL J CUNNINGHAM M.D.
Orthopaedic Surgery
733 N BEERS ST, SUITE L-3
HOLMDEL, NJ 07733
Monmouth County (732) 264-5454
DR. ANDREA ENGEL M.D.
Anesthesiology
733 N BEERS ST, SUITE U4
HOLMDEL, NJ 07733
Monmouth County (732) 739-2757
STEPHANIE LYNN WAGNER RN
Registered Nurse (Plastic Surgery)
733 N BEERS ST
HOLMDEL, NJ 07733
Monmouth County (732) 739-2100
RAJA BARAKAT MD
Pediatrics (Adolescent Medicine)
733 N BEERS ST, SUITE L5
HOLMDEL, NJ 07733
Monmouth County (732) 739-2100

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 Denise Balacich's NPI number?

The NPI number for Denise Balacich is 1619319266. It was assigned to this individual provider in the NPPES registry on July 24, 2013.

Where is Denise Balacich located?

Denise Balacich practices at 733 N Beers St Suite U4, Holmdel, NJ 07733. The listed phone number is (732) 739-0707.

What is Denise Balacich's specialty?

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

Is Denise Balacich enrolled in Medicare?

Yes. Denise Balacich 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 Denise Balacich accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Denise Balacich 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 Denise Balacich was last updated on May 30, 2018. 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.