Organization Active NPI

Optometric Physcians of Red Bank

Doing business as Eyesfirst Vision Center

  • Optometrist
  • Red Bank, NJ
National Provider Identifier
1154324721
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OPTOMETRIC PHYSCIANS OF RED BANK
Doing business as
Eyesfirst Vision Center
Practice address
60 Broad St
Red Bank, NJ 07701-1936
Phone
(732) 530-5151
Fax
(732) 842-6629
NPI assigned
May 27, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Todd Howard Gershenow, ODNPI 1699778316
Title
Optometrist
Phone
(732) 530-5151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NJ Primary

Addresses

Primary practice location

60 Broad St
Red Bank, NJ 07701-1936

Mailing address

60 Broad St
Red Bank, NJ 07701-1936
Phone (732) 530-5151

Other identifiers 1

IdentifierTypeStateIssuer
3263509MedicaidNJ

Other names 1

  • Eyesfirst Vision Center Doing business as

National Provider Directory

National Provider Directory

Locations

60 Broad St
Red Bank, NJ 07701
Phone (732) 530-5151

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1154324721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 BROAD ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011936",
            "telephone_number": "732-530-5151",
            "fax_number": "732-842-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 BROAD ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011936",
            "telephone_number": "732-530-5151",
            "fax_number": "732-842-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIC PHYSCIANS OF RED BANK",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GERSHENOW",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "732-530-5151",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3263509",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyesfirst Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.