Optometric Physicians of Eatontown LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00570801 Issued in NJ

Legal business name

OPTOMETRIC PHYSICIANS OF EATONTOWN LLC

Practice address

State Highway 36
Office Max Plaza
Eatontown, NJ 07724

Phone

(732) 542-3050

Fax

(732) 542-5999

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Todd H Gershenow, O.D.

Title

Owner

Phone

(732) 671-7300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• EyesFirst Vision Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul L Sonenblum, O.D.

  • Optometrist
  • Freehold, NJ
  • NPI 1477532661
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1912917147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RT. 36",
            "address_2": "OFFICE MAX PLAZA",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "07724",
            "telephone_number": "732-542-3050",
            "fax_number": "732-542-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STATE HIGHWAY 36",
            "address_2": "OFFICE MAX PLAZA",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "07724",
            "telephone_number": "732-542-3050",
            "fax_number": "732-542-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIC PHYSICIANS OF EATONTOWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "GERSHENOW",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-671-7300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00570801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0093629",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EyesFirst Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Benedict Ona, APN
• Vivian Onuro, MD
• Optimum Chiropractic LLC
• Option Care Enterprises, Inc.
• Option Care Enterprises, Inc.
• Optometric Physicians of Middletown PA
• Optum Medical Care of New Jersey PC
• Vanessa Oriolo, MSN, APN, NP-C
• Orion Medical Technologies
• Ogonna Oge Orjiekwe, D.M.D

• Optometrist in Eatontown, NJ
• Providers in Eatontown, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.

Verify at the official NPI Registry.