Organization Active NPI

Shore Family Eyecare, PA

  • Optometrist
  • Manasquan, NJ
National Provider Identifier
1154483287
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OA5114 Issued in NJ
Legal business name
SHORE FAMILY EYECARE, PA
Practice address
161 Main St
Manasquan, NJ 08736-3544
Phone
(732) 223-0202
Fax
(732) 223-0490
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Authorized official

Name
Dr. Harvey B Richman, ODNPI 1336124445
Title
President
Phone
(732) 223-0202

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OA5114 NJ Primary

Addresses

Primary practice location

161 Main St
Manasquan, NJ 08736-3544

Mailing address

161 Main St
Manasquan, NJ 08736-3544
Phone (732) 223-0202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071011000708 NJ Part B Supplier - Clinic/Group Practice 8325134919 Receives reassigned benefits from 4 practitioners
Practice locations: Manasquan, NJ

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D1081259Shore Family Eyecare161 Main St, Manasquan, NJ 08736Certificate of waiverMar 12, 2028

National Provider Directory

National Provider Directory

Locations

161 Main St
Manasquan, NJ 08736
Phone (732) 223-0202

136 Main St
Manasquan, NJ 08736
Phone (732) 223-0202

Interoperability endpoints

  • Direct secure messaging: kkinzley@sfe.eyefinity-direct.com
  • Direct secure messaging: hrichman@sfe.eyefinity-direct.com
  • Direct secure messaging: mrichman@sfe.eyefinity-direct.com

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1154483287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 MAIN ST",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087363544",
            "telephone_number": "732-223-0202",
            "fax_number": "732-223-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 MAIN ST",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087363544",
            "telephone_number": "732-223-0202",
            "fax_number": "732-223-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE FAMILY EYECARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "RICHMAN",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-223-0202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA5114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.