| Bayshore Ophthalmology, Llc | |
|
719 N Beers St, Suite 1b, Holmdel, NJ 07733-1522 | |
| (732) 264-6464 | |
| (732) 264-5114 |
| Full Name | Bayshore Ophthalmology, Llc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 719 N Beers St, Holmdel, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215047493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 27OA00562000 (New Jersey) | Secondary |
| 207W00000X | Ophthalmology | 25MA07128400 (New Jersey) | Primary |
| Provider Name | Rajeshwari Venkata Atkuri |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1699750463 PECOS PAC ID: 6204876550 Enrollment ID: I20050506000030 |
| Provider Name | Meggan C Heinz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003806761 PECOS PAC ID: 8921028705 Enrollment ID: I20051129000073 |
| Provider Name | Robert E Satty |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295892347 PECOS PAC ID: 4284707027 Enrollment ID: I20080726000056 |
| Provider Name | Sharon Dyckman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1801892278 PECOS PAC ID: 6002897956 Enrollment ID: I20090804000749 |
| Provider Name | Milton Kahn |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1750477006 PECOS PAC ID: 4486628237 Enrollment ID: I20100310000357 |
| Provider Name | Surekha Collur |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1750491015 PECOS PAC ID: 8921093857 Enrollment ID: I20110314000919 |
| Provider Name | Caroline R Moshel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1114121340 PECOS PAC ID: 1254509789 Enrollment ID: I20130417000158 |
| Provider Name | Cristin D Subramaniam |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1295978278 PECOS PAC ID: 7113152950 Enrollment ID: I20131101000426 |
| Provider Name | Jeff E Murad |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548230436 PECOS PAC ID: 5991717357 Enrollment ID: I20190730000179 |
| Mailing Address | Practice Location Address |
|---|---|
| Bayshore Ophthalmology, Llc 719 N Beers St, Suite 1b, Holmdel, NJ 07733-1522 Ph: (732) 264-6464 | Bayshore Ophthalmology, Llc 719 N Beers St, Suite 1b, Holmdel, NJ 07733-1522 Ph: (732) 264-6464 |