Healthcare Provider Details

I. General information

NPI: 1851372270
Provider Name (Legal Business Name): DR. HARVEY L. KERKER & DR. IVY H. SPEARS, OPTOMETRIC PHYSICIANS, L.L.P
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 BEY LEA RD BEY LEA COMMONS SUITE C 104
TOMS RIVER NJ
08753-2900
US

IV. Provider business mailing address

40 BEY LEA RD BEY LEA COMMONS SUITE C 104
TOMS RIVER NJ
08753-2900
US

V. Phone/Fax

Practice location:
  • Phone: 732-349-2020
  • Fax: 732-341-1652
Mailing address:
  • Phone: 732-349-2020
  • Fax: 732-341-1652

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. HARVEY LEE KERKER
Title or Position: OWNER/ DOCTOR
Credential: O.D.
Phone: 732-349-2020