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General NPI Number Information
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NPI Number | 1851372270
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Entity Type | Organization
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Legal Business Name | DR. HARVEY L. KERKER & DR. IVY H. SPEARS, OPTOMETRIC PHYSICIANS, L.L.P
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Dates
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Enumeration Date | 11/11/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 40 BEY LEA RD BEY LEA COMMONS SUITE C 104
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City | TOMS RIVER
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State | NJ
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Zip | 08753-2900
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Country | US
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Telephone | 732-349-2020
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Fax | 732-341-1652
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Provider Business Mailing Address
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Address Line | 40 BEY LEA RD BEY LEA COMMONS SUITE C 104
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City | TOMS RIVER
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State | NJ
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Zip | 08753-2900
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Country | US
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Telephone | 732-349-2020
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Fax | 732-341-1652
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Authorized Official
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Title or Position | OWNER/ DOCTOR
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Name | DR. HARVEY LEE KERKER
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Credential | O.D.
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Telephone | 732-349-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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