OPHTHALMOLOGY OF MONTCLAIR LIMITED LIABILITY COMPANY
NPI 1912047713
Ophthalmology in Montclair, NJ
About Ophthalmology Of Montclair Limited Liability Company NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OPHTHALMOLOGY OF MONTCLAIR LIMITED LIABILITY COMPANY (NPI 1912047713) is a healthcare organization registered as an ophthalmology in Montclair, New Jersey and active in the NPI registry since February 2007. The organization lists Kathryn Phyllis Childs, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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)
Ophthalmology Of Montclair Limited Liability Company is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 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.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Ophthalmology Of Montclair Limited Liability Company, which bills Medicare for the services this clinician delivers.
Clinician (1)
Montclair, NJ 07042
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ophthalmology Of Montclair Limited Liability Company's NPI number?
The NPI number for Ophthalmology Of Montclair Limited Liability Company is 1912047713. It was assigned to this organization in the NPPES registry on February 8, 2007.
Where is Ophthalmology Of Montclair Limited Liability Company located?
Ophthalmology Of Montclair Limited Liability Company is located at 33 N Fullerton Ave 1st Floor, Montclair, NJ 07042. The listed phone number is (973) 509-6039.
What is Ophthalmology Of Montclair Limited Liability Company's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Ophthalmology Of Montclair Limited Liability Company enrolled in Medicare?
Yes. Ophthalmology Of Montclair Limited Liability Company is registered in the Medicare PECOS enrollment system.
When is Ophthalmology Of Montclair Limited Liability Company'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 December 31, 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 Ophthalmology Of Montclair Limited Liability Company?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Ophthalmology Of Montclair Limited Liability Company. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Ophthalmology Of Montclair Limited Liability Company accept?
Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Ophthalmology Of Montclair Limited Liability Company 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 Ophthalmology Of Montclair Limited Liability Company was last updated on August 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Ophthalmology Of Montclair Limited Liability Company · NPI 1912047713
Ophthalmology organization in Montclair, New Jersey. Organization record, active in the CMS NPPES registry since February 8, 2007.
## Identity
- **NPI:** 1912047713 (Entity type: Organization)
- **Enumerated:** February 8, 2007
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** No
- **Authorized official:** Kathryn Childs, OWNER
## Practice location
- **Address:** 33 N FULLERTON AVE, 1ST FLOOR, Montclair, NJ 07042-3412
- **Phone:** (973) 509-6039 · **Fax:** (973) 509-6069
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, New Jersey, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Ophthalmology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 27, 2007
- **Other identifiers:** Medicare PIN 109408 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1912047713) · Data from the CMS NPPES public registry.