Organization Active NPI

Monmouth County Primary Eye Care LLC

Doing business as Academy Vision

  • Optometrist
  • Wall Township, NJ
National Provider Identifier
1851133565
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MONMOUTH COUNTY PRIMARY EYE CARE LLC
Doing business as
Academy Vision
Eye Group
Ravine Eye Center
Practice address
1722 New Bedford Rd
Wall Township, NJ 07719-3870
Phone
(732) 504-4194
NPI assigned
Jun 12, 2024
Last updated
Feb 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Authorized official

Name
Tyler Lesko, ODNPI 1003548538
Title
Managing Member/Partner
Phone
(732) 504-4194

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
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

1722 New Bedford Rd
Wall Township, NJ 07719-3870

Mailing address

1722 New Bedford Rd
Wall Township, NJ 07719-3870
Phone (732) 531-6300

Other practice location 1

780 W Park Ave
Oakhurst, NJ 07755-1028
Phone (732) 974-1400

Other practice location 2

90 Atlantic City Blvd
Pine Beach, NJ 08741-1545
Phone (732) 531-6300

Other names 3

  • ACADEMY VISION Doing business as
  • EYE GROUP Doing business as
  • RAVINE EYE CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241030003220 NJ Part B Supplier - Clinic/Group Practice 9234662107 Receives reassigned benefits from 6 practitioners
Practice locations: Oakhurst, NJ; Pine Beach, NJ; Wall Township, NJ

National Provider Directory

National Provider Directory

Locations

1722 New Bedford Rd
Ste 1
Wall Township, NJ 07719
Phone (732) 531-6300

Practitioners & affiliated clinicians

Practitioners 12

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": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1851133565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 NEW BEDFORD RD",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193870",
            "telephone_number": "732-531-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 NEW BEDFORD RD",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193870",
            "telephone_number": "732-504-4194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 W Park Ave",
            "address_purpose": "LOCATION",
            "city": "Oakhurst",
            "state": "NJ",
            "postal_code": "077551028",
            "country_code": "US",
            "telephone_number": "732-974-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 Atlantic City Blvd",
            "address_purpose": "LOCATION",
            "city": "Pine Beach",
            "state": "NJ",
            "postal_code": "087411545",
            "country_code": "US",
            "telephone_number": "732-531-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MONMOUTH COUNTY PRIMARY EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A",
        "authorized_official_last_name": "LESKO",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "MANAGING MEMBER/PARTNER",
        "authorized_official_telephone_number": "732-504-4194",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACADEMY VISION",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EYE GROUP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EYE GROUP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RAVINE EYE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wall Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.