Fornasier, Louis John

Fornasier, Louis John is an sole proprietor health care provider with primary practice located at 6725 Black Horse Pike Boscov Optocal Dept, Egg Harbor Twp NJ 08234-3904. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fornasier, Louis John can be contacted via phone (609) 742-3353.

Contact Information

Primary practice address
6725 Black Horse Pike Boscov Optocal Dept Egg Harbor Twp NJ 08234-3904
Fax: (609) 652-6770
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 27OA00341000 New Jersey

Profile Details

NPI number 1164418810
LBN Legal business name Fornasier, Louis John
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2005
Last updated Nov 7th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164418810 NPPES
New Jersey Other P831238 OXFORD
New Jersey Other 1K4922 OXFORD
New Jersey Other 1212631003 OXFORD
New Jersey Other 55603 OXFORD
New Jersey MEDICAID 2344106 OXFORD
New Jersey Other 889661 OXFORD
New Jersey Other 0090213000 OXFORD

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