Active NPI
Jeffrey Ryan Speers, O.D.
- Optometrist
- Iselin, NJ
National Provider Identifier
1518100304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00617600
- Practice address
- 485 Route 1 S
Building a
Iselin, NJ 08830-3009 - Phone
- (732) 750-0400
- NPI assigned
- Apr 9, 2009
- Last updated
- Apr 9, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00617600 | NJ | Primary |
Addresses
Primary practice location
485 Route 1 S
Building a
Iselin, NJ 08830-3009
Mailing address
929 Willow Ave
Apt 6
Hoboken, NJ 07030-3063
Phone (732) 750-0400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27OA00617600 | NJ | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239235200000",
"number": "1518100304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 WILLOW AVE",
"address_2": "APT 6",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070303063",
"telephone_number": "732-750-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 ROUTE 1 S",
"address_2": "BUILDING A",
"city": "ISELIN",
"state": "NJ",
"postal_code": "088303009",
"telephone_number": "732-750-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEERS",
"first_name": "JEFFREY",
"middle_name": "RYAN",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-09",
"last_updated": "2009-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00617600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iselin, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.