| Campus Eye Group, Llc | |
|
1700 Whitehorse Hamilton Square Rd, Hamilton Square, NJ 08690-3536 | |
| (609) 587-2020 | |
| (609) 588-9545 |
| Full Name | Campus Eye Group, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1700 Whitehorse Hamilton Square Rd, Hamilton Square, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447232913 | NPI | - | NPPES |
| 8330913 | Medicaid | NJ | |
| 8330905 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| 261QA1903X | Clinic/center - Ambulatory Surgical | (* (Not Available)) | Secondary |
| Provider Name | Ilan Cohen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1649374802 PECOS PAC ID: 6305832163 Enrollment ID: I20040426000509 |
| Provider Name | Joseph J Devenuto |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1760417125 PECOS PAC ID: 5991786808 Enrollment ID: I20040526001483 |
| Provider Name | Robert L Wellner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790862977 PECOS PAC ID: 7214997303 Enrollment ID: I20041013000721 |
| Provider Name | Edward B Didonato |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578546545 PECOS PAC ID: 7315974607 Enrollment ID: I20050727000259 |
| Provider Name | David J Lax |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689656712 PECOS PAC ID: 0840229449 Enrollment ID: I20050804000231 |
| Provider Name | Deborah F Dimeglio-unfried |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013953744 PECOS PAC ID: 3779527882 Enrollment ID: I20050805000016 |
| Provider Name | Denise A Agness |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902888035 PECOS PAC ID: 9931138203 Enrollment ID: I20050808000053 |
| Provider Name | Iftikhar M Chaudhry |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700874740 PECOS PAC ID: 2567416654 Enrollment ID: I20050822001419 |
| Provider Name | Eric J Hartman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1265424337 PECOS PAC ID: 7012948722 Enrollment ID: I20050823000311 |
| Provider Name | Cindy Nesha Chhedi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316902083 PECOS PAC ID: 0345271888 Enrollment ID: I20050826000039 |
| Provider Name | Vincent F Sardi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1366411233 PECOS PAC ID: 6507898095 Enrollment ID: I20050912000140 |
| Provider Name | Gerald Dunham |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528173788 PECOS PAC ID: 6507818861 Enrollment ID: I20070319000493 |
| Provider Name | Katarzyna I Ciesek |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609073998 PECOS PAC ID: 6406934561 Enrollment ID: I20080415000641 |
| Provider Name | Joseph J Tobias |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417019563 PECOS PAC ID: 2264441476 Enrollment ID: I20090116000572 |
| Provider Name | Alexander J Mcgowan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093898082 PECOS PAC ID: 1658434626 Enrollment ID: I20090120000075 |
| Provider Name | Harmon C Stein |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1588624357 PECOS PAC ID: 7012019078 Enrollment ID: I20090421000032 |
| Provider Name | Mark R. Heimmel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942427125 PECOS PAC ID: 7315092426 Enrollment ID: I20090825000666 |
| Provider Name | Sanjay Kamat |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205886421 PECOS PAC ID: 8325100258 Enrollment ID: I20091203000449 |
| Provider Name | Aaila I Chaudhry |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1902004674 PECOS PAC ID: 2163565797 Enrollment ID: I20100204000763 |
| Provider Name | Stephanie P Messa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881869188 PECOS PAC ID: 5496823809 Enrollment ID: I20100218000212 |
| Provider Name | Andrew C Lipka |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1821199043 PECOS PAC ID: 9436281672 Enrollment ID: I20100803000084 |
| Provider Name | Joseph F Mussoline |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1821084583 PECOS PAC ID: 4183692403 Enrollment ID: I20101028000436 |
| Provider Name | Kenneth M Reid |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861421851 PECOS PAC ID: 2264459411 Enrollment ID: I20110311000170 |
| Provider Name | Judith B Lavrich |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386603769 PECOS PAC ID: 8921100983 Enrollment ID: I20111207000028 |
| Provider Name | Jon A Peet |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538323175 PECOS PAC ID: 9234396003 Enrollment ID: I20120206000826 |
| Provider Name | Jeremy L Aikey |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1972713683 PECOS PAC ID: 0446324883 Enrollment ID: I20130122000150 |
| Provider Name | Imtiaz M Chaudhry |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1750550091 PECOS PAC ID: 8426125675 Enrollment ID: I20130410000083 |
| Provider Name | Heather Kathleen Livezey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275506685 PECOS PAC ID: 9537199328 Enrollment ID: I20140814000158 |
| Provider Name | Sam Khoury |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962889741 PECOS PAC ID: 2668771247 Enrollment ID: I20160503001722 |
| Provider Name | Eric Robert Devore |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427570464 PECOS PAC ID: 0749539997 Enrollment ID: I20180828001153 |
| Provider Name | Reham A Baghdady |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417404690 PECOS PAC ID: 5193088664 Enrollment ID: I20190827001289 |
| Provider Name | Ryan L Maurer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437635117 PECOS PAC ID: 8426470121 Enrollment ID: I20200625002831 |
| Provider Name | Pinal Dave |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699188003 PECOS PAC ID: 3173827177 Enrollment ID: I20221031000066 |
| Provider Name | Nikita Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952830861 PECOS PAC ID: 4587934799 Enrollment ID: I20230227002710 |
| Provider Name | Ranjodh Singh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164958294 PECOS PAC ID: 9537412143 Enrollment ID: I20230228000715 |
| Provider Name | Monica Joshi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184325318 PECOS PAC ID: 6204291610 Enrollment ID: I20230508000649 |
| Mailing Address | Practice Location Address |
|---|---|
| Campus Eye Group, Llc 1700 Whitehorse Hamilton Square Rd, Hamilton Square, NJ 08690-3536 Ph: (609) 587-2020 | Campus Eye Group, Llc 1700 Whitehorse Hamilton Square Rd, Hamilton Square, NJ 08690-3536 Ph: (609) 587-2020 |
Ms. Rachel Peebles, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1777 Kuser Rd, Hamilton Square, NJ 08690 Phone: 609-581-5755 Fax: 609-581-7055 | |
Dr. Alicia Michelle Defonte, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1777 Kuser Rd, Hamilton Square, NJ 08690 Phone: 609-581-5755 Fax: 609-581-7055 | |
Dr. Ashley Bascom, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1777 Kuser Rd, Hamilton Square, NJ 08690 Phone: 609-581-5755 Fax: 609-581-7055 | |
Dr. Ivan Lee, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1777 Kuser Rd, Hamilton Square, NJ 08690 Phone: 609-581-5755 Fax: 609-581-7055 | |
Mobile Eye Professionals Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1777 Kuser Rd, Hamilton Square, NJ 08690 Phone: 609-581-5755 Fax: 609-581-7055 | |
Dr. Theodore F Shafman, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1700 Whitehorse Hamilton Square Rd, Campus Eye Group Suite A-1, Hamilton Square, NJ 08690 Phone: 609-587-2020 | |
Sharon A Manto, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4100 Nottingham Way, Hamilton Square, NJ 08690 Phone: 609-584-9100 |