Bayshore Ophthalmology, LLC
NPI 1215047493ActiveOrganization· Ophthalmology· Holmdel, NJ
Ophthalmology in Holmdel, New Jersey, registered in NPPES in August 2006. The authorized official on file is Surekha Collur, M.D., Member. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1215047493 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 30, 2006 |
| Last updated in NPPES | Jun 5, 2023 |
| Certified by provider | Jun 5, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | 25MA07128400 | NJ |
| Optometrist | 152W00000X | 27OA00562000 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Optometrist (NJ); Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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