Provider Demographics
NPI:1184786378
Name:TOMS RIVER EYE ASSOCIATES,P.C.
Entity type:Organization
Organization Name:TOMS RIVER EYE ASSOCIATES,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:J
Authorized Official - Last Name:GOLDSCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:732-240-2077
Mailing Address - Street 1:1201 HOOPER AVE
Mailing Address - Street 2:SPACE 1045-1046
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-3330
Mailing Address - Country:US
Mailing Address - Phone:732-240-2077
Mailing Address - Fax:732-240-2410
Practice Address - Street 1:1201 HOOPER AVE
Practice Address - Street 2:SPACE 1045-1046
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-3330
Practice Address - Country:US
Practice Address - Phone:732-240-2077
Practice Address - Fax:732-240-2410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00461700152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TO0880842Medicare ID - Type Unspecified