Kenneth A Shuster in Ventnor - Optometrist
Kenneth A Shuster - NPI 1821074923
Kenneth A Shuster is a Optometrist in Ventnor, New Jersey. Kenneth A Shuster practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kenneth A Shuster is 1821074923. The last update date is 2011-07-27.
Kenneth A Shuster's current location address is 4827 Atlantic Ave, Ventnor, New Jersey. You can contact this provider via phone number 6094870010 and fax number 6094870163. The mailing address for Kenneth A Shuster is 4827 Atlantic Ave, Ventnor, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth A Shuster |
|---|---|
| Address | 4827 Atlantic Ave, Ventnor, New Jersey |
| Phone Number | 6094870010 |
| Fax Number | 6094870163 |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1821074923 |
|---|---|
| Provider Enumeration Date | 2005-12-20 |
| Last Updated Date | 2011-07-27 |
Provider Mailing Address Detail
| Address | 4827 Atlantic Ave |
|---|---|
| City | Ventnor |
| State | New Jersey (NJ) |
| Post Code | 84063004 |
| Phone Number | 6094870010 |
| Fax Number | 6094870163 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 3856 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 613460002 | NJ | OTHER | |
| 1867008 | NJ | -- |
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What is the unique identifier code issued to Kenneth A Shuster by the Centers for Medicare & Medicaid Services (CMS)?
The Kenneth A Shuster has been assigned the NPI (National Provider Identifier) 1821074923. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Kenneth A Shuster located?
The Kenneth A Shuster is located at 4827 Atlantic Ave, Ventnor, NJ 84063004.
What is the Kenneth A Shuster's specialty and taxonomy code?
The Kenneth A Shuster's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
When did Kenneth A Shuster receive its 1821074923 assignment?
The Kenneth A Shuster was assigned its 1821074923 on 2005-12-20, which is the date when this unique identifier was issued to the organization.
When was the information regarding Kenneth A Shuster most recently updated?
The details pertaining to the Kenneth A Shuster, including its address, specialty, and other relevant information, were last refreshed on 2011-07-27.