BAYSHORE OPHTHALMOLOGY, LLC
NPI 1215047493
Ophthalmology in Holmdel, NJ

NPI Status: Active since August 30, 2006

Contact Information

719 N BEERS ST
SUITE 1B
HOLMDEL, NJ
ZIP 07733
Phone: (732) 264-6464
Fax: (732) 264-5114

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  • Organization
  • Ophthalmology
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About BAYSHORE OPHTHALMOLOGY, LLC

This page provides the complete NPI Profile along with additional information for Bayshore Ophthalmology, Llc, a provider established in Holmdel, New Jersey operating as a Ophthalmology. The healthcare provider is registered in the NPI registry with number 1215047493 assigned on August 2006. The practitioner's primary taxonomy code is 207W00000X with license number 25MA07128400 (NJ). The provider is registered as an organization and their NPI record was last updated 3 years ago. Bayshore Ophthalmology, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Surekha Collur M.d. (Member)

NPI
1215047493
Provider Name
BAYSHORE OPHTHALMOLOGY, LLC
Entity Type
Organization
Location Address
719 N BEERS ST SUITE 1B HOLMDEL, NJ 07733
Location Phone
(732) 264-6464
Location Fax
(732) 264-5114
Mailing Address
719 N BEERS ST SUITE 1B HOLMDEL, NJ 07733
Mailing Phone
(732) 264-6464
Mailing Fax
(732) 264-5114
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-30-2006
Last Update Date
06-05-2023
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Ophthalmologists like Bayshore Ophthalmology, Llc specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.

Bayshore Ophthalmology, Llc is a medicare supplier with PTAN 20600567 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ophthalmology

Taxonomy Code
207W00000X
Type
Allopathic & Osteopathic Physicians
License No.
25MA07128400
License State
NJ
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1152W00000XEye and Vision Services Providers

Optometrist

27OA00562000 (NJ)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. SUREKHA COLLUR M.D.

Authorized Official Title
MEMBER
Authorized Official Phone
(732) 264-6464

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20600567
Accepts Medicare Assignment
YES
Specialities List
Optometrist.
Competitive Bidding
NO

Supplies List

  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1215047493, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
1
Doubled → 2
Pos 4
5
Unchanged
Pos 5
0
Doubled → 0
Pos 6
4
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 7 → 14 → 5 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 2 + 5 + 0 + 4 + 1 + 4 + 4 + 1 + 8 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1215047493.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Pulmonary Disease)
719 N BEERS ST, SUITES 2E & 2F
HOLMDEL, NJ 07733
Internal Medicine (Pulmonary Disease)
719 N BEERS ST, SUITES 2E & 2F
HOLMDEL, NJ 07733
Podiatrist
719 N BEERS ST, SUITE 2A
HOLMDEL, NJ 07733
Pediatrics (Adolescent Medicine)
719 N BEERS ST, SUITE 1A
HOLMDEL, NJ 07733
Ophthalmology
719 N BEERS ST, SUITE 1B
HOLMDEL, NJ 07733
Podiatrist (Foot Surgery)
719 N BEERS ST, SUITE 2A
HOLMDEL, NJ 07733
Dentist (General Practice)
719 N BEERS ST, SUITE 2C
HOLMDEL, NJ 07733
Pediatrics
719 N BEERS ST, SUITE 1-E
HOLMDEL, NJ 07733
Pediatrics
719 N BEERS ST, SUITE 1-E
HOLMDEL, NJ 07733
Pediatrics
719 N BEERS ST, SUITE 1-E
HOLMDEL, NJ 07733
Pediatrics
719 N BEERS ST, SUITE 1-E
HOLMDEL, NJ 07733
Pediatrics (Adolescent Medicine)
719 N BEERS ST, SUITE 1E
HOLMDEL, NJ 07733
Dermatology (MOHS-Micrographic Surgery)
719 N BEERS ST, SUITE 2G
HOLMDEL, NJ 07733
Dermatology (MOHS-Micrographic Surgery)
719 N BEERS ST, UNIT 2G
HOLMDEL, NJ 07733
Pediatrics (Adolescent Medicine)
719 N BEERS ST, SUITE 1A
HOLMDEL, NJ 07733
Pediatrics
719 N BEERS ST
HOLMDEL, NJ 07733
Specialist
719 N BEERS ST, SUITE 2A
HOLMDEL, NJ 07733
Acupuncturist
719 N BEERS ST
HOLMDEL, NJ 07733
Dermatology
719 N BEERS ST, SUITE 2G
HOLMDEL, NJ 07733
Physical Therapist
719 N BEERS ST, SUITE 2A
HOLMDEL, NJ 07733

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215047493, enumerated as an "organization" on August 30, 2006.

The provider is located at 719 N BEERS ST SUITE 1B HOLMDEL, NJ 07733 and the phone number is (732) 264-6464.

Ophthalmology with taxonomy code 207W00000X.