Shafman, Theodore F
Shafman, Theodore F is an sole proprietor health care provider with primary practice located at 1700 Whitehorse Hamilton Square Rd Campus Eye Group Suite A-1, Hamilton Square NJ 08690-3536. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Shafman, Theodore F can be contacted via phone (609) 587-2020.Contact Information
Primary practice address
1700 Whitehorse Hamilton Square Rd Campus Eye Group Suite A-1
Hamilton Square NJ 08690-3536
Phone: (609) 587-2020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 27OA00359100 | New Jersey |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OE005047P | Pennsylvania |
Profile Details
| NPI number | 1275625139 |
|---|---|
| LBN Legal business name | Shafman, Theodore F |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Oct 19th, 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 | 1275625139 | NPPES |
| New Jersey | MEDICAID | 1728903-01 |
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