Active NPIIndividual provider

Brian D D'Allura, OD

Optometrist in Wall, New Jersey

NPI Number1376104190
Practice location
1625 State Route 71, Wall, NJ 07719-3153
Fax
732-305-8340
Last updated
May 7, 2026

Brian Daniel D'Allura is an Optometrist based in Wall, NJ. Brian Daniel D'Allura practices in Wall, NJ and has the professional credentials of OD. The NPI Number for Brian Daniel D'Allura is 1376104190 and holds a License No. 27OA00689100 (NJ). The current practice location address for Brian Daniel D'Allura is 1625 State Route 71, Wall, NJ 07719-3153 and can be reached out via phone at 732-305-0850 and via fax at 732-305-8340.

Provider Profile Details

NPI Number
1376104190
Provider Name
Brian Daniel D'Allura
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
1625 State Route 71, Wall, NJ 07719-3153
Phone Number
732-305-0850
Fax Number
732-305-8340
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
June 24, 2019
Last Update Date
May 7, 2026
Certification Date
May 7, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1625 State Route 71
Wall, NJ 07719-3153
City
Wall
Zip
07719-3153
Phone Number
732-305-0850
Fax Number
732-305-8340
Wall, NJ 07719Get directions →

Provider Business Mailing Address Details

Address
1625 State Route 71
Wall, NJ 07719-3153
City
Wall
State
NJ
Zip
07719-3153
Phone Number
732-305-0850
Fax Number
732-305-8340

License Information

License Number (1)
27OA00689100
License State (1)
NJ
Taxonomy (1)
Optometrist · 152W00000X · Primary
License Number (2)
27OA00689100
License State (2)
NJ
License Number (3)
27OA00689100
License State (3)
NJ
Taxonomy (3)
Optometrist, Pediatrics · 152WP0200X

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 Brian D D'Allura, OD?

The NPI number of Brian D D'Allura, OD is 1376104190. It was assigned on June 24, 2019 and is currently active in the NPPES registry.

What is the specialty of Brian D D'Allura, OD?

Brian D D'Allura, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 27OA00689100.

Where does Brian D D'Allura, OD practice?

The practice location is 1625 State Route 71, Wall, NJ 07719-3153. The office can be reached at 732-305-0850 (phone) or 732-305-8340 (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 1376104190 directly on the NPPES registry website.

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