Family Eye Care of Old Bridge, PC
NPI 1104094622ActiveOrganization· Optometrist· Old Bridge, NJ
Optometrist in Old Bridge, New Jersey, registered in NPPES in February 2008. The authorized official on file is S Moshe Roth, OD, Optometrist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104094622 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 19, 2008 |
| Last updated in NPPES | Aug 26, 2025 |
| Certified by provider | Aug 26, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 4635 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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