Active NPIOrganization

Bayshore Ophthalmology, LLC

Ophthalmology in Holmdel, New Jersey

NPI Number1215047493
Practice location
719 N Beers St, Suite 1B, Holmdel, NJ 07733-1522
Fax
732-264-5114
Last updated
June 5, 2023

Bayshore Ophthalmology, LLC is a healthcare organization based in Holmdel, NJ. Bayshore Ophthalmology, LLC practices in Holmdel, NJ. The NPI Number for Bayshore Ophthalmology, LLC is 1215047493 and holds a License No. 27OA00562000 (NJ). The current practice location address for Bayshore Ophthalmology, LLC is 719 N Beers St, Suite 1B, Holmdel, NJ 07733-1522 and can be reached out via phone at 732-264-6464 and via fax at 732-264-5114.

Provider Profile Details

NPI Number
1215047493
Provider Name
Bayshore Ophthalmology, LLC
Provider Entity Type
Organization
Address
719 N Beers St, Suite 1B, Holmdel, NJ 07733-1522
Phone Number
732-264-6464
Fax Number
732-264-5114
Primary Taxonomy
Ophthalmology · 207W00000X
Organization Subpart
No
Authorized Official
Dr. Surekha Collur, MD · Member · 732-264-6464
Provider Enumeration Date
August 30, 2006
Last Update Date
June 5, 2023
Certification Date
June 5, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
719 N Beers St
Suite 1B
Holmdel, NJ 07733-1522
Zip
07733-1522
Phone Number
732-264-6464
Fax Number
732-264-5114
Holmdel, NJ 07733Get directions →

Provider Business Mailing Address Details

Address
719 N Beers St
Suite 1B
Holmdel, NJ 07733-1522
City
Holmdel
State
NJ
Zip
07733-1522
Phone Number
732-264-6464
Fax Number
732-264-5114

License Information

License Number (1)
27OA00562000
License State (1)
NJ
Taxonomy (1)
Optometrist · 152W00000X
License Number (2)
25MA07128400
License State (2)
NJ
Taxonomy (2)
Ophthalmology · 207W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bayshore Ophthalmology, LLC?

The NPI number of Bayshore Ophthalmology, LLC is 1215047493. It was assigned on August 30, 2006 and is currently active in the NPPES registry.

What is the specialty of Bayshore Ophthalmology, LLC?

Bayshore Ophthalmology, LLC is registered under the primary taxonomy Ophthalmology (code 207W00000X), licensed in NJ under license number 27OA00562000.

Where does Bayshore Ophthalmology, LLC practice?

The practice location is 719 N Beers St, Suite 1B, Holmdel, NJ 07733-1522. The office can be reached at 732-264-6464 (phone) or 732-264-5114 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215047493 directly on the NPPES registry website.

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