Active NPI
Optometric Physicians of Sea Girt, LLC.
- Optometrist
- Sea Girt, NJ
National Provider Identifier
1174930176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
National Provider Directory
National Provider DirectoryLocations
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.