One provider matched this enrollment ID.
Enrollment ID I20040105000577 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Practitioner
- I20040105000577OptometryNJ
Source: CMS PECOS public enrollment file.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Other
- 1388229NJ· Issued by AETNA HMO
- 20-5488615NJ· Issued by HORIZON BLUE CROSS
- 3K4694NJ· Issued by HEALTHNET
- HA1527974NJ· Issued by OPTICHOICE BCBS
- P27974NJ· Issued by AMERIHEALTH ADMINISTRATOR
- P3916732· Issued by OXFORD
- 223294272NJ· Issued by VISION SERVICE PLAN
- 7427497NJ· Issued by AETNA PPO
- 20-54-88615NJ· Issued by CARPENTER'S WELFARE FUND
- 2804063· Issued by UNITED HEALTH CARE
- 7901NJ· Issued by EYE MED
- 0000097476PA· Issued by OPERATING ENGINEERS
- 19821NJ· Issued by SPECTERA AMERICHOICE
- 142-4137NJ· Issued by CIGNA PPO
- 2213488000NJ· Issued by AMERIHEALTH
- 2213488000NJ· Issued by INDEPENDENCE BLUE CROSS
- 2213488000NJ· Issued by KEYSTONE EAST MEDICAL
Medicaid
- 0065307NJ
Source: NPPES public registry.
ReferenceAbout Medicare Enrollment IDs
A Medicare Enrollment ID (ENRLMT_ID) is a 15-character public identifier assigned by the CMS Provider Enrollment, Chain and Ownership System (PECOS) when a provider, supplier, or organisation enrols in Medicare. Each row reflects one enrolment record: a single NPI can hold multiple enrolments across provider types, states, or supplier categories. Data here is mirrored from the quarterly public PECOS enrolment file published on data.cms.gov.