Organization Active NPI

Optometric Physcians of Long Branch

Doing business as Eyesfirst Vision Center

  • Optometrist
  • Long Branch, NJ
National Provider Identifier
1942203518
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OPTOMETRIC PHYSCIANS OF LONG BRANCH
Doing business as
Eyesfirst Vision Center
Practice address
444 Ocean Blvd
Long Branch, NJ 07740-5651
Phone
(732) 870-0600
Fax
(732) 870-0020
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, OD
Title
Optometrist
Phone
(732) 870-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X NJ Primary

Addresses

Primary practice location

444 Ocean Blvd
Long Branch, NJ 07740-5651

Mailing address

444 Ocean Blvd
Long Branch, NJ 07740-5651
Phone (732) 870-0600

Other identifiers 1

IdentifierTypeStateIssuer
8378801MedicaidNJ

Other names 1

  • Eyesfirst Vision Center 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": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1942203518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 OCEAN BLVD",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077405651",
            "telephone_number": "732-870-0600",
            "fax_number": "732-870-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 OCEAN BLVD",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077405651",
            "telephone_number": "732-870-0600",
            "fax_number": "732-870-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIC PHYSCIANS OF LONG BRANCH",
        "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": "732-870-0600",
        "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": "8378801",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyesfirst Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Branch, 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.