Organization Active NPI

Optometric Physicians of Hazlet, PA

Doing business as Eyesfirst Vision Center

  • Optometrist
  • Hazlet, NJ
National Provider Identifier
1629071295
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OPTOMETRIC PHYSICIANS OF HAZLET, PA
Doing business as
Eyesfirst Vision Center
Practice address
3013 Hwy 35
Hazlet, NJ 07730-1526
Phone
(732) 739-4000
Fax
(732) 739-4002
NPI assigned
May 27, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Todd Howard Gershenow, ODNPI 1699778316
Title
Optometrist
Phone
(732) 739-4000

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 NJ Primary

Addresses

Primary practice location

3013 Hwy 35
Hazlet, NJ 07730-1526

Mailing address

3013 Hwy 35
Hazlet, NJ 07730-1526
Phone (732) 739-4000

Other identifiers 1

IdentifierTypeStateIssuer
3121402MedicaidNJ

Other names 1

  • Eyesfirst Vision Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629071295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 HWY 35",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301526",
            "telephone_number": "732-739-4000",
            "fax_number": "732-739-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 HWY 35",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301526",
            "telephone_number": "732-739-4000",
            "fax_number": "732-739-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIC PHYSICIANS OF HAZLET, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GERSHENOW",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "732-739-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3121402",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyesfirst Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hazlet, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.