Mobile Vision LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA07781000 Issued in NJ

Legal business name

MOBILE VISION LLC

Practice address

509 Stillwells Corner Road
Suite E5
Freehold, NJ 07728-2965

Phone

(732) 431-9333

Fax

(732) 431-3312

NPI assigned

Jan 3, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Eric Andrew Gershenbaum, MD

Title

LLC Member

Phone

(732) 431-9333

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1003973595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 STILLWELLS CORNER ROAD",
            "address_2": "SUITE E5",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282965",
            "telephone_number": "732-431-9333",
            "fax_number": "732-431-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 STILLWELLS CORNER ROAD",
            "address_2": "SUITE E5",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282965",
            "telephone_number": "732-431-9333",
            "fax_number": "732-431-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "GERSHENBAUM",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "LLC MEMBER",
        "authorized_official_telephone_number": "732-431-9333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "005273",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA07781000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Minzter, M.D.
• Miracle-Ear
• Robert Mirynowski, CRNA
• Steven K. Mishkin, MD
• Neeti Misra, MD
• Mobility & Motion, LLC
• Mobility Consulting and Contracting
• Mobility Special Home Care Services LLC
• Millie Mohan, MD MPH
• Michele Rubio Mojar, APRN

• Ophthalmology Physician in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.