EYE INSTITUTE OF SOUTH JERSEY, P.C.
NPI 1962525584
Optometrist in Vineland, NJ

NPI Status: Active since April 09, 2007

Contact Information

3071 E CHESTNUT AVE
SUITE B 6
VINELAND, NJ
ZIP 08361
Phone: (856) 205-1100
Fax: (856) 205-1100

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  • Organization
  • Optometrist
  • CLIA Number: 31D2054668
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-25-2027

About EYE INSTITUTE OF SOUTH JERSEY, P.C.

This page provides the complete NPI Profile along with additional information for Eye Institute Of South Jersey, P.c., a provider established in Vineland, New Jersey operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1962525584 assigned on April 2007. The practitioner's primary taxonomy code is 152W00000X with license number 27OA00581400 (NJ). The provider is registered as an organization and their NPI record was last updated one year ago. Eye Institute Of South Jersey, P.c. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mrs. Fawn C Pernelli (Office Administrator)

NPI
1962525584
Provider Name
EYE INSTITUTE OF SOUTH JERSEY, P.C.
Entity Type
Organization
Location Address
3071 E CHESTNUT AVE SUITE B 6 VINELAND, NJ 08361
Location Phone
(856) 205-1100
Location Fax
(856) 205-1100
Mailing Address
3071 E CHESTNUT AVE SUITE B 6 VINELAND, NJ 08361
Mailing Phone
(856) 205-1100
Mailing Fax
(856) 205-1100
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-09-2007
Last Update Date
09-11-2025
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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

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
27OA00581400
License State
NJ
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207W00000XAllopathic & Osteopathic Physicians

Ophthalmology

MA56275 (NJ)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. FAWN C PERNELLI

Authorized Official Title
OFFICE ADMINISTRATOR
Authorized Official Phone
(856) 205-1100

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
31D2054668
Facility Type
Physician Office
Certificate Effective Date
February 26, 2025
Certificate Expiration Date
February 25, 2027
Laboratory Director
DAVID R. PERNELLI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Eye Institute Of South Jersey, P.c. 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 1962525584, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
2
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
5
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
4
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 6 → 12 → 3 5 → 10 → 1 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 2 + 2 + 1 + 0 + 2 + 1 + 0 + 5 + 1 + 6 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1962525584.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Optometrist
3071 E CHESTNUT AVE, SUITE B 6
VINELAND, NJ 08361
Dentist (Pediatric Dentistry)
3071 E CHESTNUT AVE, SUITE D-10
VINELAND, NJ 08361
Dentist (Pediatric Dentistry)
3071 E CHESTNUT AVE, SUITE D-10
VINELAND, NJ 08361
Pain Medicine (Pain Medicine)
3071 E CHESTNUT AVE, SUITE D-12
VINELAND, NJ 08361
Ophthalmology
3071 E CHESTNUT AVE, SUITE B 6
VINELAND, NJ 08361
Home Health
3071 E CHESTNUT AVE, SUITE C-7
VINELAND, NJ 08361

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962525584, enumerated as an "organization" on April 09, 2007.

The provider is located at 3071 E CHESTNUT AVE SUITE B 6 VINELAND, NJ 08361 and the phone number is (856) 205-1100.

Optometrist with taxonomy code 152W00000X.