Organization Active NPI

Pancurak Eye Center LLC

  • Ophthalmology Physician
  • Toms River, NJ
National Provider Identifier
1104256395
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
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

Updated by the provider on Feb 25, 2014

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)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.