BAYSHORE OPHTHALMOLOGY, LLC
NPI 1215047493
Ophthalmology in Holmdel, NJ
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
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bayshore Ophthalmology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Bayshore Ophthalmology, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NJAccepts 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.
Medicare Product Categories
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.
Is Bayshore Ophthalmology, LLC enrolled in Medicare?
Yes. Bayshore Ophthalmology, LLC is registered in the Medicare PECOS enrollment system.
When is Bayshore Ophthalmology, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (New Jersey, Physician - Optometrist) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Bayshore Ophthalmology, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Bayshore Ophthalmology, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Ophthalmology (4) and Optometry (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Bayshore Ophthalmology, Llc · NPI 1215047493
Ophthalmology organization in Holmdel, New Jersey. Organization record, active in the CMS NPPES registry since August 30, 2006.
## Identity
- **NPI:** 1215047493 (Entity type: Organization)
- **Enumerated:** August 30, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** No
- **Authorized official:** Surekha Collur, MEMBER
## Practice location
- **Address:** 719 N BEERS ST, SUITE 1B, Holmdel, NJ 07733-1522
- **Phone:** (732) 264-6464 · **Fax:** (732) 264-5114
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (DME, New Jersey, Physician - Optometrist) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (4), Optometry (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 5, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1215047493) · Data from the CMS NPPES public registry.