Provider Demographics
NPI:1467724971
Name:SHURMINSKY EYECARE LLC
Entity Type:Organization
Organization Name:SHURMINSKY EYECARE LLC
Other - Org Name:WALTER SHURMINSKY JR. OD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SHURMINSKY
Authorized Official - Suffix:JR
Authorized Official - Credentials:OD
Authorized Official - Phone:201-825-8292
Mailing Address - Street 1:161 N FRANKLIN TPKE
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:RAMSEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07446-1649
Mailing Address - Country:US
Mailing Address - Phone:201-825-8292
Mailing Address - Fax:201-760-6496
Practice Address - Street 1:161 N FRANKLIN TPKE
Practice Address - Street 2:SUITE 2A
Practice Address - City:RAMSEY
Practice Address - State:NJ
Practice Address - Zip Code:07446-1649
Practice Address - Country:US
Practice Address - Phone:201-825-8292
Practice Address - Fax:201-760-6496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-30
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00467801152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
521630Medicare PIN