SOUTH JERSEY EYE PHYSICIANS PA
NPI 1629287032
Eyewear Supplier in Medford, NJ
NPI Status: Active since May 22, 2007
Contact Information
103 OLD MARLTON PIKE STE 216
MEDFORD, NJ
ZIP 08055
Phone: (609) 714-8761
Fax: (609) 714-8759
- Organization
- Eyewear Supplier
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 31D1007701
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 12-26-2026
About SOUTH JERSEY EYE PHYSICIANS PA
This page provides the complete NPI Profile along with additional information for South Jersey Eye Physicians Pa, a provider established in Medford, New Jersey operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1629287032 assigned on May 2007. The practitioner's primary taxonomy code is 332H00000X with license number 25MA04135500 (NJ). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Dr. James G Nachbar Md (President)
- NPI
- 1629287032
- Provider Name
- SOUTH JERSEY EYE PHYSICIANS PA
- Entity Type
- Organization
- Location Address
- 103 OLD MARLTON PIKE STE 216 MEDFORD, NJ 08055
- Location Phone
- (609) 714-8761
- Location Fax
- (609) 714-8759
- Mailing Address
- 509 S LENOLA RD SUITE 11 MOORESTOWN, NJ 08057
- Mailing Phone
- (856) 234-0258
- Mailing Fax
- (609) 714-8759
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-22-2007
- Last Update Date
- 08-20-2020
- Code Navigator
South Jersey Eye Physicians Pa is a medicare supplier with PTAN 20565215 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact Lenses.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Eyewear Supplier
- Taxonomy Code
- 332H00000X
- Type
- Suppliers
- License No.
- 25MA04135500
- License State
- NJ
- Taxonomy Description
- An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20565215
- Accepts Medicare Assignment
- YES
- Specialities List
- Optometrist.
- Provider Type List
- PHYSICIAN – OPHTHALMOLOGY.
- Competitive Bidding
- NO
Supplies List
- Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
- Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 31D1007701
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- December 27, 2024
- Certificate Expiration Date
- December 26, 2026
- Laboratory Director
- MANDY DANBERRY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to South Jersey Eye Physicians Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1629287032, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
MEDFORD, NJ 08055
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629287032, enumerated as an "organization" on May 22, 2007.
The provider is located at 103 OLD MARLTON PIKE STE 216 MEDFORD, NJ 08055 and the phone number is (609) 714-8761.
Eyewear Supplier with taxonomy code 332H00000X.
