Individual provider Active NPI

Kerlyne E Guerrier, O.D.

  • Optometrist
  • Brick, NJ
National Provider Identifier
1013962083
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00602100 Issued in NJ
Practice address
465 Route 70
Brick, NJ 08723-4049
Phone
(732) 262-6313
Fax
(732) 262-6313
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00602100 NJ Primary

Addresses

Primary practice location

465 Route 70
Brick, NJ 08723-4049

Mailing address

31 Milburn Dr
Hillsborough, NJ 08844-2256
Phone (908) 431-5118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00602100NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Yunic Vision Care LLC Optometrist Past Accepting new patients
Universal Optical Optometrist Past Accepting new patients
Gail M Blumenthal OD PA Optometrist Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1013962083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 MILBURN DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088442256",
            "telephone_number": "908-431-5118",
            "fax_number": "908-431-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 ROUTE 70",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234049",
            "telephone_number": "732-262-6313",
            "fax_number": "732-262-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRIER",
        "first_name": "KERLYNE",
        "middle_name": "E",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00602100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.