NPIMap

Organization Active NPI

Shore Eye Associates PA

  • Durable Medical Equipment & Medical Supplies
  • Toms River, NJ
National Provider Identifier
1093737017
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SHORE EYE ASSOCIATES PA
Practice address
530 Lakehurst Road
Suite 206
Toms River, NJ 08755-8021
Phone
(732) 341-4733
Fax
(732) 341-2794
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Authorized official

Name
Jeffrey L Martin, MD
Title
Owner
Phone
(855) 295-4144

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

530 Lakehurst Road
Suite 206
Toms River, NJ 08755-8021

Mailing address

530 Lakehurst Road
Suite 206
Toms River, NJ 08755-8021
Phone (732) 341-4733

Other identifiers 1

IdentifierTypeStateIssuer
7988800MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040910000056 NJ Part B Supplier - Clinic/Group Practice 9133195126 Receives reassigned benefits from 17 practitioners
Practice locations: Brick, NJ; Whiting, NJ; Toms River, NJ; Spring Lake Heights, NJ; Barnegat, NJ
O20100930015002 NJ DME Supplier - Physician - OphthalmologyDME Supplier - Optician 9133195126 Practice locations: Toms River, NJ

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Shore Eye Associates PA530 Lakehurst Rd, Toms River, NJ 08755-8063(732) 341-4733 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 1982

National Provider Directory

National Provider Directory
Tax ID family
Shor Eye Associates PA8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

770 Lighthouse Dr
Ste 156B
Barnegat, NJ 08005
Phone (609) 698-2020

14 Mule Rd
Ste 1
Toms River, NJ 08755
Phone (732) 286-0900

413 Lakehurst Rd
Ste 100
Toms River, NJ 08755
Phone (732) 244-4322

550 Route 530
Whiting, NJ 08759
Phone (732) 350-2727

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1093737017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 LAKEHURST ROAD",
            "address_2": "SUITE 206",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558021",
            "telephone_number": "732-341-4733",
            "fax_number": "732-341-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 LAKEHURST ROAD",
            "address_2": "SUITE 206",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558021",
            "telephone_number": "732-341-4733",
            "fax_number": "732-341-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE EYE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-295-4144",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7988800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.