Eye Institute of South Jersey, P.C.
NPI 1962525584ActiveOrganization· Optometrist· Vineland, NJ
Optometrist in Vineland, New Jersey, registered in NPPES in April 2007. The authorized official on file is Fawn C. Pernelli, Office Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1962525584 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 9, 2007 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 27OA00581400 | NJ |
| Ophthalmology | 207W00000X | MA56275 | 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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