Organization Active NPI

Optometric Physicians of Sea Girt, LLC.

  • Optometrist
  • Sea Girt, NJ
National Provider Identifier
1174930176
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OPTOMETRIC PHYSICIANS OF SEA GIRT, LLC.
Practice address
2204 Highway 35
Suite 9
Sea Girt, NJ 08750-2323
Phone
(732) 223-2800
Fax
(732) 223-5121
NPI assigned
Jul 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Authorized official

Name
Dr. Todd Gershenow, O.D.
Title
Member
Phone
(732) 530-6584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2204 Highway 35
Suite 9
Sea Girt, NJ 08750-2323

Mailing address

2204 Highway 35
Suite 9
Sea Girt, NJ 08750-2323
Phone (732) 223-2800

Other names 1

  • Eyesfirst Vision Center Doing business as

National Provider Directory

National Provider Directory

Locations

2204 Highway 35
Ste 1
Sea Girt, NJ 08750
Phone (732) 223-2800

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1174930176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 HIGHWAY 35",
            "address_2": "SUITE 9",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087502323",
            "telephone_number": "732-223-2800",
            "fax_number": "732-223-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 HIGHWAY 35",
            "address_2": "SUITE 9",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087502323",
            "telephone_number": "732-223-2800",
            "fax_number": "732-223-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIC PHYSICIANS OF SEA GIRT, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "GERSHENOW",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "732-530-6584",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyesfirst Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sea Girt, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.