MEDICARE: DR. HARVEY LEE KERKER O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	27OA00418600	NJ
2	152WC0802X	Corneal and Contact Management Optometrist	27OA00418600	NJ
3	152WP0200X	Pediatric Optometrist	27OA00418600	NJ
4	152WS0006X	Sports Vision Optometrist	27OA00418600	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01000481400	OTHER	NJ	AMERICHOICE ID NUMBER
2	150994	OTHER	NJ	UNITED HEALTHCARE
3	4377668	OTHER	NJ	AETNA (NON-HMO)
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	G3410217	OTHER	NJ	OXFORD GROUP ID NUNBER
6	2K6818	OTHER	NJ	HEALTHNET IND PROV ID NUM
7	305803	OTHER	NJ	US FAMILY HEALTH PLAN
8	2341813000	OTHER	NJ	AMERIHEALTH
9	P2906781	OTHER	NJ	OXFORD IND PROV ID NUMBER
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	3607447	OTHER	NJ	AETNA (HMO)
12	24109	OTHER	NJ	SPECTERA GROUP ID NUMBER
13	965242	OTHER	NJ	CIGNA PROV ID NUMBER

General Provider Information

NPI Number	:	1467434407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HARVEY LEE KERKER O.D.

Provider Business Mailing Address
First Line	:	40 BEY LEA RD
Second Line	:	BEY LEA COMMONS SUITE C 104
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753-2900
Country	:	US
Telephone Number	:	732-349-2020
Fax Number	:	732-341-1652

Provider Business Practice Location Address
First Line	:	40 BEY LEA RD
Second Line	:	BEY LEA COMMONS SUITE C 104
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753-2900
Country	:	US
Telephone Number	:	732-349-2020
Fax Number	:	732-341-1652

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	09/11/2025

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