Bayshore Ophthalmology, LLC
Ophthalmology in Tinton Falls, NJ. Organization (NPI-2).
NPI number1114101037
StatusActive
Last updated in NPPESApr 9, 2008
Details
- NPI
- 1114101037
- Entity type
- Organization (NPI-2)
- Legal business name
- Bayshore Ophthalmology, LLC
- Organization subpart
- No
- Enumeration date
- Dec 27, 2007
- Last updated
- Apr 9, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | 25MA07128400 | NJ | Yes |
| 152W00000X | Optometrist | 27OA00562000 | NJ |
Practice location
628 Shrewsbury AveTinton Falls, NJ 07701-4932
Phone 732-842-2288 · Fax 732-219-0072
Mailing address
719 N Beers StSuite 1b
Holmdel, NJ 07733-1522
Phone 732-264-6464 · Fax 732-264-5114
Authorized official
Surekha Collur
Owner
7322646464
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