Altman, Thomas
Altman, Thomas is an sole proprietor health care provider with primary practice located at 290 Main St , Ridgefield Park NJ 07660-1534. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Altman, Thomas can be contacted via phone (201) 440-1273.Contact Information
Primary practice address
290 Main St
Ridgefield Park NJ 07660-1534
Phone: (201) 440-1273
Fax: (201) 440-1274
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | TUV003432-1 | New York |
Eye and Vision Services Providers / Optometrist | 152W00000X | 27OA00374800 | New Jersey |
Eye and Vision Services Providers / Optometrist | 152W00000X | 27OM00013300 | New Jersey |
Eye and Vision Services Providers / Optometrist | 152W00000X | CDS#D09092900 | New Jersey |
Profile Details
NPI number | 1295733095 |
---|---|
LBN Legal business name | Altman, Thomas |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 14th, 2005 |
Last updated | Oct 15th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295733095 | NPPES |
New Jersey | MEDICAID | 0988502 |
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