EYE INSTITUTE OF SOUTH JERSEY, P.C.
NPI 1962525584
Optometrist in Vineland, NJ
About Eye Institute Of South Jersey, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EYE INSTITUTE OF SOUTH JERSEY, P.C. (NPI 1962525584) is a healthcare organization registered as an optometrist in Vineland, New Jersey and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through February 25, 2027 and lists Fawn C Pernelli, Office Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eye Institute Of South Jersey, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Eye Institute Of South Jersey, P.C., which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
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 31D2054668
Eye Institute Of South Jersey PC · Vineland, NJFrequently 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 Eye Institute Of South Jersey, P.C.'s NPI number?
The NPI number for Eye Institute Of South Jersey, P.C. is 1962525584. It was assigned to this organization in the NPPES registry on April 9, 2007.
Where is Eye Institute Of South Jersey, P.C. located?
Eye Institute Of South Jersey, P.C. is located at 3071 E Chestnut Ave Suite B 6, Vineland, NJ 08361. The listed phone number is (856) 205-1100.
What is Eye Institute Of South Jersey, P.C.'s specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Eye Institute Of South Jersey, P.C. enrolled in Medicare?
Yes. Eye Institute Of South Jersey, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Eye Institute Of South Jersey, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Eye Institute Of South Jersey, P.C., in Ophthalmology and Optometry. 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.
Does Eye Institute Of South Jersey, P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D2054668) is associated with this NPI, valid through February 25, 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 Eye Institute Of South Jersey, P.C. was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Eye Institute Of South Jersey, P.c. · NPI 1962525584
Optometrist organization in Vineland, New Jersey. Organization record, active in the CMS NPPES registry since April 9, 2007.
## Identity
- **NPI:** 1962525584 (Entity type: Organization)
- **Enumerated:** April 9, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Fawn Pernelli, OFFICE ADMINISTRATOR
## Practice location
- **Address:** 3071 E CHESTNUT AVE, SUITE B 6, Vineland, NJ 08361-7847
- **Phone:** (856) 205-1100 · **Fax:** (856) 205-1100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (1), Optometry (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 11, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1962525584) · Data from the CMS NPPES public registry.