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ATLANTIC EYE PHYSICIANS, PA
NPI 1629023551
Specialist in Eatontown, NJ

Active since May 22, 2006CLIA 31D1095123 · Waiver
300 HIGHWAY 35 # 204, EATONTOWN, NJ 07724(732) 222-7373(732) 483-8214 Get Directions Write a Review

NPPES record last updated: February 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Atlantic Eye Physicians, Pa NPPES

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

ATLANTIC EYE PHYSICIANS, PA (NPI 1629023551) is a healthcare organization registered as a specialist in Eatontown, New Jersey and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through February 2, 2027 and lists Donna M Juettner, Credentialing/billing, as its authorized official.

NPPES Registry Identity

NPI1629023551
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameATLANTIC EYE PHYSICIANS, PA
Location Address300 HIGHWAY 35 # 204Eatontown, NJ 07724-2216
Mailing Address300 Highway 35Eatontown, NJ 07724-2216 · (732) 222-7373 · Fax (732) 483-8412
Phone(732) 222-7373
Fax(732) 483-8214
Organization SubpartNo
Authorized OfficialDonna M JuettnerCredentialing/billing · (732) 222-7373
Enumeration DateMay 22, 2006
Last NPPES UpdateFebruary 16, 2023
NPPES CertifiedFebruary 16, 2023
✔ NPI 1629023551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
300 HIGHWAY 35 # 204, Eatontown, NJ 07724
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D1095123

Atlantic Eye Physicians · Eatontown, NJ
Active · expires Feb 2, 2027
CLIA Number31D1095123
Laboratory TypePhysician Office
Certificate Effective DateFebruary 3, 2025
Certificate Expiration DateFebruary 2, 2027
Laboratory DirectorRonald W. Kristan
Laboratory Phone(732) 222-7373
Laboratory LocationAtlantic Eye Physicians300 Hwy 35 South Suite 200, Eatontown, NJ 07724
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Atlantic Eye Physicians, PA's NPI number?

The NPI number for Atlantic Eye Physicians, PA is 1629023551. It was assigned to this organization in the NPPES registry on May 22, 2006.

Where is Atlantic Eye Physicians, PA located?

Atlantic Eye Physicians, PA is located at 300 Highway 35 # 204, Eatontown, NJ 07724. The listed phone number is (732) 222-7373.

What is Atlantic Eye Physicians, PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Atlantic Eye Physicians, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D1095123) is associated with this NPI, valid through February 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Atlantic Eye Physicians, PA accept?

Health plans from BlueCross BlueShield of Tennessee list Atlantic Eye Physicians, PA 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 Atlantic Eye Physicians, PA was last updated on February 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.