EDISON OPHTHALMOLOGY ASSOCIATES L.L.C.
NPI 1851339840
Ophthalmology in Edison, NJ

Active since June 03, 2006CLIA 31D2326384 · Waiver
2177 OAK TREE RD, #203, EDISON, NJ 08820(908) 822-0070 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Edison Ophthalmology Associates L.l.c. NPPES

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

EDISON OPHTHALMOLOGY ASSOCIATES L.L.C. (NPI 1851339840) is a healthcare organization registered as an ophthalmology in Edison, New Jersey and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through July 1, 2027 and lists John C Park, President, as its authorized official.

NPPES Registry Identity

NPI1851339840
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameEDISON OPHTHALMOLOGY ASSOCIATES L.L.C.
Location Address2177 OAK TREE RD, #203Edison, NJ 08820-1082
Mailing Address2177 Oak Tree Rd, #203Edison, NJ 08820-1082
Organization SubpartNo
Authorized OfficialJohn C ParkPresident · (908) 822-0070
Enumeration DateJune 3, 2006
Last NPPES UpdateMarch 6, 2023
NPPES CertifiedMarch 6, 2023
✔ NPI 1851339840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NJ · 25MA07540000
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
2177 OAK TREE RD, Edison, NJ 08820

Other Identifiers 1

Other2334336000Amerihealth Hmo Id

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

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)

Edison Ophthalmology Associates L.l.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

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 IDO20120420000243Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Edison Ophthalmology Associates L.L.C., which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Optometry
NPI 1568726586
2177 OAK TREE RD STE 203
Edison, NJ 08820
(908) 822-0070
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1255372827
2177 OAK TREE RD #203
Edison, NJ 08820
(908) 822-0070
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1720082159
2177 OAK TREE RD STE 203
Edison, NJ 08820
(908) 822-0070
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1063417723
2177 OAK TREE RD STE 203
Edison, NJ 08820
(908) 822-0070
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1740327527
49 VERONICA AVE SUITE 204
Somerset, NJ 08873
(732) 565-1500
✔ PECOS✔ Accepts Medicare9.1 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 31D2326384

Edison Ophthalmology Associates, LLC · Edison, NJ
Active · expires Jul 1, 2027
CLIA Number31D2326384
Laboratory TypePhysician Office
Certificate Effective DateJuly 2, 2025
Certificate Expiration DateJuly 1, 2027
Laboratory DirectorJohn C. Park
Laboratory Phone(908) 822-0070
Laboratory LocationEdison Ophthalmology Associates, LLC2177 Oak Tree Road Ste 203, Edison, NJ 08820
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 Edison Ophthalmology Associates L.L.C.'s NPI number?

The NPI number for Edison Ophthalmology Associates L.L.C. is 1851339840. It was assigned to this organization in the NPPES registry on June 3, 2006.

Where is Edison Ophthalmology Associates L.L.C. located?

Edison Ophthalmology Associates L.L.C. is located at 2177 Oak Tree Rd #203, Edison, NJ 08820. The listed phone number is (908) 822-0070.

What is Edison Ophthalmology Associates L.L.C.'s specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Edison Ophthalmology Associates L.L.C. enrolled in Medicare?

Yes. Edison Ophthalmology Associates L.L.C. is registered in the Medicare PECOS enrollment system.

When is Edison Ophthalmology Associates L.L.C.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by January 31, 2027. 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 Edison Ophthalmology Associates L.L.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Edison Ophthalmology Associates L.L.C.. 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 (4) and Optometry (1). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Edison Ophthalmology Associates L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2326384) is associated with this NPI, valid through July 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Edison Ophthalmology Associates L.L.C. was last updated on March 6, 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.