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SAM KHOURY OPTOMETRIST
NPI 1962889741
Optometrist in Mays Landing, NJ

Active since April 30, 2015PECOS EnrolledAccepts Medicare Assignment
4403 BLACK HORSE PIKE STE 2093, MAYS LANDING, NJ 08330(609) 484-0060 Get Directions Write a Review

NPPES record last updated: May 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 23, 2020, Oct 2, 2019, Sep 4, 2016 (3 updates tracked since 2016).

About Sam Khoury Optometrist NPPES

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

SAM KHOURY OPTOMETRIST (NPI 1962889741) is an individual optometrist in Mays Landing, New Jersey, licensed in New Jersey (27OA00659100) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1962889741
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameSAM KHOURYCredential: OPTOMETRIST
Location Address4403 BLACK HORSE PIKE STE 2093Mays Landing, NJ 08330-3176
Mailing Address4403 Black Horse Pike Ste 2093Mays Landing, NJ 08330-3176 · (609) 484-0060 · Fax (609) 855-5028
Phone(609) 484-0060
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateApril 30, 2015
Last NPPES UpdateMay 23, 20203 updates tracked since enumeration
NPPES CertifiedMay 23, 2020
✔ NPI 1962889741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in NJ · 27OA00659100✔ Licensed in ID · ODP - 100327
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.
4403 BLACK HORSE PIKE STE 2093, Mays Landing, NJ 08330
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sam Khoury Optometrist is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668771247
PECOS Enrollment IDI20160503001722
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
96 services93 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
76 services76 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
38 services38 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
24 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08330 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUXOTTICA OF AMERICA INC.
Eyewear Supplier
4403 BLACK HORSE PIKE STE 2093
MAYS LANDING, NJ 08330
Atlantic County (609) 484-8400

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 Sam Khoury's NPI number?

The NPI number for Sam Khoury is 1962889741. It was assigned to this individual provider in the NPPES registry on April 30, 2015.

Where is Sam Khoury located?

Sam Khoury practices at 4403 Black Horse Pike Ste 2093, Mays Landing, NJ 08330. The listed phone number is (609) 484-0060.

What is Sam Khoury's specialty?

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

Is Sam Khoury enrolled in Medicare?

Yes. Sam Khoury is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sam Khoury accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Sam Khoury 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 Sam Khoury was last updated on May 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.