MEDICARE: DR. HARVEY L. KERKER & DR. IVY H. SPEARS, OPTOMETRIC PHYSICIANS, L.L.P

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2341813000	OTHER	NJ	AMERIHEALTH GROUP ID NUMB
2	24109	OTHER	NJ	SPECTERA GROUP ID NUMBER
3	50596	OTHER	NJ	DAVIS VISION GROUP ID NUM
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	G3410217	OTHER	NJ	OXFORD GROUP ID NUMBER

General Provider Information

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

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	:	OWNER/ DOCTOR
Name	:	DR. HARVEY LEE KERKER
Credential	:	O.D.
Telephone Number	:	732-349-2020

Provider Enumeration Date	:	11/11/2005
Last Update Date	:	08/22/2020

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