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: October 25, 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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Atlantic Eye Physicians, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20120419000142DME · Physician - OphthalmologyDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Atlantic Eye Physicians, PA, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 14 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Ophthalmology11
Optometry6

Clinicians, nearest first (17)

Ophthalmology
NPI 1841291580
300 HIGHWAY 35 STE 200
Eatontown, NJ 07724
(732) 222-7373
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1033817879
300 HIGHWAY 35 STE 300
Eatontown, NJ 07724
(732) 222-7373
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1093706327
300 HIGHWAY 35 STE 200
Eatontown, NJ 07724
(732) 222-7373
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1154088615
300 NJ-35 #300
Eatontown, NJ 07724
(732) 222-7373
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1790714665
300 HIGHWAY 35 STE 200
Eatontown, NJ 07724
(732) 222-7373
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1114928843
300 HIGHWAY 35 STE 200
Eatontown, NJ 07724
(732) 222-7373
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1891426714
300 HIGHWAY 35 STE 300
Eatontown, NJ 07724
(732) 222-7373
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1205038262
300 HIGHWAY 35 STE 200
Eatontown, NJ 07724
(732) 222-7373
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1154841682
300 HIGHWAY 35 STE 200
Eatontown, NJ 07724
(732) 222-7373
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1740865120
300 HIGHWAY 35
Eatontown, NJ 07724
(732) 222-7458
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1386645901
279 3RD AVE STE. 204
Long Branch, NJ 07740
(732) 291-8362
✔ PECOS3.4 mi
Ophthalmology
NPI 1629450101
279 3RD AVE STE 204
Long Branch, NJ 07740
(732) 222-7373
✔ PECOS✔ Accepts Medicare3.4 mi
Ophthalmology
NPI 1609861913
75 W FRONT ST
Red Bank, NJ 07701
(732) 741-4242
✔ PECOS✔ Accepts Medicare5.0 mi
Ophthalmology
NPI 1669467536
75 W FRONT ST
Red Bank, NJ 07701
(732) 741-4242
✔ PECOS✔ Accepts Medicare5.1 mi
Ophthalmology
NPI 1598022873
20 MULE RD
Toms River, NJ 08755
(732) 349-5622
✔ PECOS✔ Accepts Medicare24 mi
Ophthalmology
NPI 1730610254
635 W 165TH ST
New York, NY 10032
(212) 305-9535
✔ PECOS✔ Accepts Medicare39 mi
Ophthalmology
NPI 1982697033
99 DUTCH HILL RD
Orangeburg, NY 10962
(845) 359-7272
✔ PECOS✔ Accepts Medicare53 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Atlantic Eye Physicians, PA enrolled in Medicare?

Yes. Atlantic Eye Physicians, PA is registered in the Medicare PECOS enrollment system.

When is Atlantic Eye Physicians, PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (New Jersey, Physician - Ophthalmology) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Atlantic Eye Physicians, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 2 Medicare specialties reassign their Medicare billing to Atlantic Eye Physicians, PA. 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. The largest specialties are Ophthalmology (11) and Optometry (6). Of these, 10 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Oscar Health 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.