NPIMap

Organization Active NPI

Gary a, Heubel, O.D.,P.a.

Doing business as The EYE SITE

  • Primary Care Clinic/Center
  • Brick, NJ
National Provider Identifier
1336422716
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
27OA00397500 Issued in NJ
Legal business name
GARY A, HEUBEL, O.D.,P.A.
Doing business as
The EYE SITE
Practice address
34 Lanes Mill Rd
Dorado Plaza
Brick, NJ 08724-7056
Phone
(732) 202-0911
Fax
(732) 202-0920
NPI assigned
Sep 22, 2011
Last updated
Aug 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Authorized official

Name
Dr. Gary Alan Heubel, O.D.
Title
Owner/Optometrist
Phone
(732) 202-0911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 27OA00397500 NJ Primary

Addresses

Primary practice location

34 Lanes Mill Rd
Dorado Plaza
Brick, NJ 08724-7056

Mailing address

34 Lanes Mill Rd
Dorado Plaza
Brick, NJ 08724-7056
Phone (732) 202-0911

Other identifiers 2

IdentifierTypeStateIssuer
1867300MedicaidNJ
602125OtherNJPTAN

Other names 1

  • The EYE SITE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1336422716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 LANES MILL RD",
            "address_2": "DORADO PLAZA",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247056",
            "telephone_number": "732-202-0911",
            "fax_number": "732-202-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 LANES MILL RD",
            "address_2": "DORADO PLAZA",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247056",
            "telephone_number": "732-202-0911",
            "fax_number": "732-202-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY A, HEUBEL, O.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "HEUBEL",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "732-202-0911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "27OA00397500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1867300",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "602125",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The EYE SITE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.