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PREMIER EYE ASSOCIATES
NPI 1639853062
Optometrist in Medford, NJ

Active since June 14, 2023CLIA Certified · 2 labs
200 TUCKERTON RD STE 6, MEDFORD, NJ 08055(856) 983-8887(856) 983-4757 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 18, 2023, Jul 25, 2023, Jun 23, 2023 and 1 more (4 updates tracked since 2023).

About Premier Eye Associates NPPES

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

PREMIER EYE ASSOCIATES (NPI 1639853062) is a healthcare organization registered as an optometrist in Medford, New Jersey and active in the NPI registry since June 2023. The organization holds 2 active CLIA laboratory certificates and lists Jamie Brant, Revenue Cycle Manager, as its authorized official.

NPPES Registry Identity

NPI1639853062
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NamePREMIER EYE MEDFORD LLC
Location Address200 TUCKERTON RD STE 6Medford, NJ 08055-8806
Mailing Address571 Haddon AveCollingswood, NJ 08108-1445 · (856) 858-3937 · Fax (856) 858-3937
Phone(856) 983-8887
Fax(856) 983-4757
Organization SubpartNo
Authorized OfficialJamie BrantRevenue Cycle Manager · (856) 688-9093
Enumeration DateJune 14, 2023
Last NPPES UpdateJanuary 18, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2024
✔ NPI 1639853062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
200 TUCKERTON RD STE 6, Medford, NJ 08055
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Other Names 1

Doing Business AsPremier Eye Associates

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 Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premier Eye Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Premier Eye Associates, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Anthony Starr, OD
Optometry
NPI 1396435657
701 ROUTE 73 N STE 3
Marlton, NJ 08053
(856) 988-1118
✔ PECOS✔ Accepts Medicare5.3 mi
Tyler Mills, O.D.
Optometry
NPI 1194012633
571 HADDON AVE
Collingswood, NJ 08108
(856) 858-3937
✔ PECOS✔ Accepts Medicare12 mi
Brian Samartino, OD
Optometry
NPI 1225312879
571 HADDON AVE
Collingswood, NJ 08108
(856) 858-3937
✔ PECOS✔ Accepts Medicare12 mi
Lauren Mullen, O.D.
Optometry
NPI 1972769040
485 ROUTE 1 S BLDG A
Iselin, NJ 08830
(732) 750-0400
✔ PECOS✔ Accepts Medicare57 mi
Elaina Nellis, OD
Optometry
NPI 1639664154
12 NEW PALTZ PLZ
New Paltz, NY 12561
(845) 255-6780
✔ PECOS✔ Accepts Medicare136 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 2

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 31D2288239

Premier Eye Medford, LLC · Medford, NJ
Active · expires Aug 22, 2027
CLIA Number31D2288239
Laboratory TypePhysician Office
Certificate Effective DateAugust 23, 2025
Certificate Expiration DateAugust 22, 2027
Laboratory DirectorBrian C. Samartino
Laboratory Phone(856) 983-8887
Laboratory LocationPremier Eye Medford, LLC200 Tuckerton Road Ste 6, Medford, NJ 08055
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 31D2128242

Premier Eye Associates, LLC · Collingswood, NJ
Active · expires Mar 27, 2027
CLIA Number31D2128242
Laboratory TypePhysician Office
Certificate Effective DateMarch 28, 2025
Certificate Expiration DateMarch 27, 2027
Laboratory DirectorTyler J. Mills
Laboratory Phone(609) 841-9944
Laboratory LocationPremier Eye Associates, LLC571 Haddon Avenue, Collingswood, NJ 08108
CLIA data matches this NPI record on: Address Name
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 Premier Eye Medford LLC's NPI number?

The NPI number for Premier Eye Medford LLC is 1639853062. It was assigned to this organization in the NPPES registry on June 14, 2023. The provider is doing business as Premier Eye Associates.

Where is Premier Eye Medford LLC located?

Premier Eye Medford LLC is located at 200 Tuckerton Rd Ste 6, Medford, NJ 08055. The listed phone number is (856) 983-8887.

What is Premier Eye Medford LLC's specialty?

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

Is Premier Eye Medford LLC enrolled in Medicare?

Yes. Premier Eye Medford LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Eye Medford LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to Premier Eye Medford 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Premier Eye Medford LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Premier Eye Medford LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Premier Eye Medford LLC 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 Premier Eye Medford LLC was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.