Active NPI
Pancurak Eye Center LLC
- Ophthalmology Physician
- Toms River, NJ
National Provider Identifier
1104256395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- PANCURAK EYE CENTER LLC
- Practice address
- 436 Commons Way BLDG D
Route 37 West
Toms River, NJ 08755-6428 - Phone
- (732) 223-6555
- Fax
- (732) 223-3228
- NPI assigned
- Nov 25, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Leila R Taylor, RN
- Title
- Owner
- Phone
- (732) 223-6555
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
436 Commons Way BLDG D
Route 37 West
Toms River, NJ 08755-6428
Mailing address
436 Commons Way BLDG D
Route 37 West
Toms River, NJ 08755-6428
Phone (732) 223-6555
National Provider Directory
National Provider DirectoryLocations
2640 Route 70
Ste 101
Manasquan, NJ 08736
Phone (732) 223-6555
436 Commons Way
Bldg D
Toms River, NJ 08755
Phone (732) 223-6555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385337600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393286400000",
"number": "1104256395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "436 COMMONS WAY BLDG D",
"address_2": "ROUTE 37 WEST",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087556428",
"telephone_number": "732-223-6555",
"fax_number": "732-223-3228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 COMMONS WAY BLDG D",
"address_2": "ROUTE 37 WEST",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087556428",
"telephone_number": "732-223-6555",
"fax_number": "732-223-3228"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PANCURAK EYE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-25",
"last_updated": "2014-02-25",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "LEILA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "732-223-6555",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Feb 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.