Provider Type Icon

FREEHOLD OPHTHALMOLOGY LLC NPI 1861446932


NPI Information

NPI: 1861446932
Provider Name: FREEHOLD OPHTHALMOLOGY, LLC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 31D2024479

Address:
509 STILLWELLS CORNER RD STE E5
FREEHOLD, NJ
ZIP 07728
Phone: (732) 431-9333
Get Directions

FREEHOLD OPHTHALMOLOGY, LLC is an ophthalmology in Freehold, NJ. The provider is 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. FREEHOLD OPHTHALMOLOGY, LLC NPI is 1861446932. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

509 STILLWELLS CORNER RD STE E5
FREEHOLD, NJ
ZIP 07728-965
Phone: (732) 431-9333
Fax: (732) 431-3312

The provider's authorized official is Eric Andrew Gershenbaum .
The authorized official title is Owner and has the following contact phone number (732) 431-9333.

The CLIA number assigned to this NPI record is 31D2024479 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/21/2006 and was last updated on 10/5/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmology25MA07781000NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10053023MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.