BAYSHORE OPHTHALMOLOGY, LLC
NPI 1114101037
Ophthalmology in Tinton Falls, NJ

Q: What is Bayshore Ophthalmology, LLC's NPI number?

The NPI number for Bayshore Ophthalmology, LLC is 1114101037. It was assigned to this organization in the NPPES registry on December 27, 2007.

Q: What is Bayshore Ophthalmology, LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since December 27, 2007CLIA 31D2066595 · Waiver

628 SHREWSBURY AVE, TINTON FALLS, NJ 07701(732) 842-2288(732) 219-0072 Get Directions Write a Review

NPPES record last updated: April 9, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Bayshore Ophthalmology, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAYSHORE OPHTHALMOLOGY, LLC (NPI 1114101037) is a healthcare organization registered as an ophthalmology in Tinton Falls, New Jersey and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through September 29, 2027 and lists Surekha Collur, Owner, as its authorized official.

NPPES Registry Identity

NPI1114101037

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameBAYSHORE OPHTHALMOLOGY, LLC

Location Address628 SHREWSBURY AVETinton Falls, NJ 07701-4932

Mailing Address719 N Beers St, Suite 1bHolmdel, NJ 07733-1522 · (732) 264-6464 · Fax (732) 264-5114

Phone(732) 842-2288

Fax(732) 219-0072

Organization SubpartNo

Authorized OfficialSurekha CollurOwner · (732) 264-6464

Enumeration DateDecember 27, 2007

Last NPPES UpdateApril 9, 2008

✔ NPI 1114101037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in NJ · 25MA07128400

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOptometristTaxonomy 152W00000X · License 27OA00562000 (NJ)

628 SHREWSBURY AVE, Tinton Falls, NJ 07701

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Other Identifiers 4

Medicare UPINH06223NJ

Medicare NSC4986190002NJ

Medicare PIN069025NJ

Medicare NSC4986190001NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2066595

Bayshore Ophthalmology · Holmdel, NJ

Active · expires Sep 29, 2027

CLIA Number31D2066595

Laboratory TypePhysician Office

Certificate Effective DateSeptember 30, 2025

Certificate Expiration DateSeptember 29, 2027

Laboratory DirectorSurekha Collur

Laboratory Phone(732) 264-6464

Laboratory LocationBayshore Ophthalmology719 N Beers Street, Suite 1B Attn Susan Story, Holmdel, NJ 07733

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RED BANK REJUVENATION

Specialist

628 SHREWSBURY AVE, SUITE C
TINTON FALLS, NJ 07701

Monmouth County (732) 383-8747

TRACY DURKIN, LCSW INC.

Community/Behavioral Health

628 SHREWSBURY AVE
TINTON FALLS, NJ 07701

Monmouth County (732) 758-0550

NEW LEAF RECOVERY CENTER

Substance Abuse Rehabilitation Facility

628 SHREWSBURY AVE
TINTON FALLS, NJ 07701

Monmouth County (732) 314-7012

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bayshore Ophthalmology, LLC's NPI number?

The NPI number for Bayshore Ophthalmology, LLC is 1114101037. It was assigned to this organization in the NPPES registry on December 27, 2007.

Where is Bayshore Ophthalmology, LLC located?

Bayshore Ophthalmology, LLC is located at 628 Shrewsbury Ave, Tinton Falls, NJ 07701. The listed phone number is (732) 842-2288.

What is Bayshore Ophthalmology, LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Bayshore Ophthalmology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2066595) is associated with this NPI, valid through September 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bayshore Ophthalmology, LLC was last updated on April 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.