DR. ASHLEY BASCOM OD
NPI 1104496702
Optometrist - Vision Therapy in Hamilton Square, NJ
NPI Status: Active since June 28, 2021
Contact Information
1777 KUSER RD
HAMILTON SQUARE, NJ
ZIP 08690
Phone: (609) 581-5755
Fax: (609) 581-7055
- Individual
- Female
- Years of Experience 5
- Optometrist
- Vision Therapy
- Accepts Insurance
- May Accept Medicare Approved Payment
- Opted-Out Medicare
About ASHLEY BASCOM
This page provides the complete NPI Profile along with additional information for Ashley Bascom, a provider established in Hamilton Square, New Jersey with a medical specialization in Optometrist, focusing in vision therapy and more than 5 years of experience. She graduated from University Of Houston - College Of Optometry in 2021. The healthcare provider is registered in the NPI registry with number 1104496702 assigned on June 2021. The practitioner's primary taxonomy code is 152WV0400X with license number 27OA00705600 (NJ). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1104496702
- Provider Name
- DR. ASHLEY BASCOM OD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1777 KUSER RD HAMILTON SQUARE, NJ 08690
- Location Phone
- (609) 581-5755
- Location Fax
- (609) 581-7055
- Mailing Address
- 1777 KUSER RD HAMILTON SQUARE, NJ 08690
- Mailing Phone
- (609) 581-5755
- Mailing Fax
- (609) 581-7055
- Medical School Name
- UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
- Graduation Year
- 2021
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-28-2021
- Last Update Date
- 06-28-2021
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Ashley Bascom opted out of Medicare effective on 01-08-2025 until 01-08-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Optometrist Vision Therapy
- Taxonomy Code
- 152WV0400X
- Type
- Eye and Vision Services Providers
- License No.
- 27OA00705600
- License State
- NJ
- Taxonomy Description
- Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Pathway X HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Pathway X HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Pathway X HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Pathway X HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Pathway X HMO 8500/50%/9200 - HMO
- Anthem Gold Pathway X HMO 1000/20%/7500 - HMO
- Anthem Gold Pathway X HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Pathway X HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Pathway X HMO 2000/10%/7500 - HMO
- Anthem Gold Pathway X HMO 2000/20%/4600 w/HSA - HMO
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Blue Precision Bronze HMO? 205 - HMO
- Blue Max 70/50 $6700 - PPO
- Blue Max 90/70 $1500 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3200 - PPO
- Blue Focus Bronze POS? 205 - POS
- Blue Focus Bronze POS? 705 - POS
- Blue Focus Bronze POS? Standard - POS
- Blue Focus Gold POS? 207 - POS
- Blue Focus Gold POS? Standard - POS
- Blue Focus Silver POS? 206 - POS
- Blue Focus Silver POS? Standard - POS
- Blue Preferred Bronze PPO? 201 - PPO
- Blue Preferred Bronze PPO? 202 - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Advantage Bronze PPO? 202 - PPO
- Blue Advantage Bronze PPO? 203 - PPO
- Blue Advantage Bronze PPO? Standard - PPO
- Blue Advantage Gold PPO? 309 - PPO
- Blue Advantage Gold PPO? 604 - PPO
- Blue Advantage Gold PPO? Standard - PPO
- Blue Advantage Silver PPO? 204 - PPO
- Blue Advantage Silver PPO? 501 - PPO
- Blue Advantage Silver PPO? Standard - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- BlueSelect Bronze Basic - PPO
- BlueSelect Bronze Core - PPO
- BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
- BlueSelect Gold Core - PPO
- BlueSelect Gold HealthPlus - PPO
- BlueSelect Gold Standard without Kid's Dental - PPO
- BlueSelect Silver Classic - PPO
- BlueSelect Silver Classic without Kid's Dental - PPO
- BlueSelect Silver HealthPlus - PPO
- BlueSelect Silver HealthPlus without Kid's Dental - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Ashley Bascom is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-08-2025
Opt-Out End Date: 01-08-2027
Eligible to Order and Refer? No
PECOS PAC ID: 4082079637
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20230503002487
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 4 | 9 | 6 | 7 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 8 | 9 | 12 | 7 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 8 + 9 + 1 + 2 + 7 + 0 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1104496702 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1538105036 | EYECARE PROFESSIONALS, P.C. Organization | Optometrist | 1777 KUSER RD HAMILTON SQUARE, NJ 08690 (609) 581-5755 |
| 1174551907 | MOBILE EYE PROFESSIONALS Organization | Optometrist | 1777 KUSER RD HAMILTON SQUARE, NJ 08690 (609) 581-5755 |
| 1730220211 | DR. BARRY TANNEN O.D. Individual | Optometrist | 1777 KUSER RD HAMILTON SQUARE, NJ 08690 (609) 581-5755 |
| 1801091129 | DR. NICKY DESPOTIDIS O.D. Individual | Optometrist | 1777 KUSER RD HAMILTON SQUARE, NJ 08690 (609) 581-5755 |
| 1154526358 | DR. IVAN LEE O.D. Individual | Optometrist | 1777 KUSER RD HAMILTON SQUARE, NJ 08690 (609) 581-5755 |
| 1841608080 | EYECARE PROFESSIONALS, P.C. Organization | Optometrist (Vision Therapy) | 1777 KUSER RD HAMILTON SQUARE, NJ 08690 (609) 581-5755 |
| 1427670256 | DR. JACOB LLOYD BROWN OD Individual | Optometrist | 1777 KUSER RD HAMILTON SQUARE, NJ 08690 (609) 581-5755 |
| 1932719143 | EMMA KARLIN Individual | Optometrist (Vision Therapy) | 1777 KUSER RD HAMILTON SQUARE, NJ 08690 (609) 581-5755 |
| 1992485817 | NINA SHIMUNOV OD Individual | Optometrist (Vision Therapy) | 1777 KUSER RD HAMILTON SQUARE, NJ 08690 (609) 581-5755 |
| 1487499406 | MR. CHRISTOPHER DOLCE OD Individual | Optometrist (Vision Therapy) | 1777 KUSER RD HAMILTON SQUARE, NJ 08690 (609) 581-5755 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104496702, enumerated in the NPI registry as an "individual" on June 28, 2021
The provider is located at 1777 Kuser Rd Hamilton Square, Nj 08690 and the phone number is (609) 581-5755
The provider's speciality is Optometrist with taxonomy code 152WV0400X with a focus in Vision Therapy
The provider has more than 5 years of experience. She graduated from University Of Houston - College Of Optometry in 2021.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
No, the provider signed an affidavit on January 08, 2025 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 08, 2027.
This NPI record was last updated on June 28, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.