Healthcare Provider Details

I. General information

NPI: 1982586392
Provider Name (Legal Business Name): DALLURA EYE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2025
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1625 RTE 71
WALL NJ
07719-3153
US

IV. Provider business mailing address

3305A RIVER RD
POINT PLEASANT BORO NJ
08742-2042
US

V. Phone/Fax

Practice location:
  • Phone: 610-506-8537
  • Fax:
Mailing address:
  • Phone: 610-506-8537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code152WV0400X
TaxonomyVision Therapy Optometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. BRIAN DANIEL D'ALLURA
Title or Position: OWNER
Credential: O.D.
Phone: 610-506-8537