BAYSHORE OPHTHALMOLOGY, LLC
NPI 1215047493
Ophthalmology in Holmdel, NJ

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

The NPI number for Bayshore Ophthalmology, LLC is 1215047493. It was assigned to this organization in the NPPES registry on August 30, 2006.

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

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

Active since August 30, 2006

719 N BEERS ST, SUITE 1B, HOLMDEL, NJ 07733(732) 264-6464(732) 264-5114 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 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 1215047493) is a healthcare organization registered as an ophthalmology in Holmdel, New Jersey and active in the NPI registry since August 2006. The organization lists Surekha Collur, Member, as its authorized official.

NPPES Registry Identity

NPI1215047493

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameBAYSHORE OPHTHALMOLOGY, LLC

Location Address719 N BEERS ST, SUITE 1BHolmdel, NJ 07733-1522

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

Phone(732) 264-6464

Fax(732) 264-5114

Organization SubpartNo

Authorized OfficialSurekha CollurMember · (732) 264-6464

Enumeration DateAugust 30, 2006

Last NPPES UpdateJune 5, 2023

NPPES CertifiedJune 5, 2023

✔ NPI 1215047493 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)

719 N BEERS ST, Holmdel, NJ 07733

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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

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Bayshore Ophthalmology LLC carries, from the Medicare DMEPOS supplier directory.

Bayshore Ophthalmology LLC

DMEPOS supplier · Holmdel, NJ

✔

Accepts Medicare assignment

Bayshore Ophthalmology LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20600567

Medicare Participant SinceMay 8, 2003

Supplier Location719 N Beers St Ste 1BHolmdel, NJ 07733

Phone(732) 264-6464

Supplier Specialties

Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses

Conventional Eyeglasses

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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Other Providers at the Same Location NPPES 20

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

HOLMDEL PHYSICAL THERAPY AND SPORTS MEDICINE LLC

Physical Therapist

719 N BEERS ST, SUITE 2A
HOLMDEL, NJ 07733

Monmouth County (646) 996-1009

DR. VANDA BRUNER MD

Pediatrics (Adolescent Medicine)

719 N BEERS ST, SUITE 1A
HOLMDEL, NJ 07733

Monmouth County (732) 264-4646

DR. BERNADETTE MIGUELINO MD

Pediatrics

719 N BEERS ST, SUITE 1-E
HOLMDEL, NJ 07733

Monmouth County (732) 739-4414

CRITICAL CARE CONSULTANTS OF NEW JERSEY LLC

Internal Medicine (Critical Care Medicine)

719 N BEERS ST, SUITE 2 E & F
HOLMDEL, NJ 07733

Monmouth County (732) 264-1001

MRS. ELISABETH HOLTZER RD

Dietitian, Registered

719 N BEERS ST
HOLMDEL, NJ 07733

Monmouth County (646) 996-1009

DR. LEA HIPOLITO DAVID MD

Pediatrics

719 N BEERS ST, SUITE 1-E
HOLMDEL, NJ 07733

Monmouth County (732) 739-4414

DIVYA SAMBANDAN BHATNAGAR M.D.

Dermatology

719 N BEERS ST, SUITE 2G
HOLMDEL, NJ 07733

Monmouth County (732) 739-3223

DR. KUSUM MOHAN MD

Pediatrics

719 N BEERS ST, SUITE 1-E
HOLMDEL, NJ 07733

Monmouth County (732) 739-4414

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 1215047493. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Bayshore Ophthalmology, LLC located?

Bayshore Ophthalmology, LLC is located at 719 N Beers St Suite 1B, Holmdel, NJ 07733. The listed phone number is (732) 264-6464.

What is Bayshore Ophthalmology, LLC's specialty?

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

Does Bayshore Ophthalmology, LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Bayshore Ophthalmology LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Bayshore Ophthalmology, LLC was last updated on June 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.