Kenneth A Shuster, OD
Optometrist in Ventnor, New Jersey
1821074923- Practice location
- 4827 Atlantic Ave, Ventnor, NJ 08406-3004
- Phone
- 609-487-0010
- Fax
- 609-487-0163
- Last updated
- July 27, 2011
Kenneth A Shuster is an Optometrist based in Ventnor, NJ. Kenneth A Shuster practices in Ventnor, NJ and has the professional credentials of OD. The NPI Number for Kenneth A Shuster is 1821074923 and holds a License No. 03856 (NJ). The current practice location address for Kenneth A Shuster is 4827 Atlantic Ave, Ventnor, NJ 08406-3004 and can be reached out via phone at 609-487-0010 and via fax at 609-487-0163.
Provider Profile Details
- NPI Number
- 1821074923
- Provider Name
- Kenneth A Shuster
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 4827 Atlantic Ave, Ventnor, NJ 08406-3004
- Phone Number
- 609-487-0010
- Fax Number
- 609-487-0163
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 20, 2005
- Last Update Date
- July 27, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4827 Atlantic Ave
Ventnor, NJ 08406-3004 - City
- Ventnor
- State
- New Jersey
- Zip
- 08406-3004
- Phone Number
- 609-487-0010
- Fax Number
- 609-487-0163
Provider Business Mailing Address Details
- Address
- 4827 Atlantic Ave
Ventnor, NJ 08406-3004 - City
- Ventnor
- State
- NJ
- Zip
- 08406-3004
- Phone Number
- 609-487-0010
- Fax Number
- 609-487-0163
License Information
- License Number (1)
- 03856
- License State (1)
- NJ
- Taxonomy (1)
- Optometrist · 152W00000X · Primary
- License Number (2)
- 24500
- License State (2)
- NJ
- Taxonomy (2)
- Optometrist, Vision Therapy · 152WV0400X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kenneth A Shuster, OD?
The NPI number of Kenneth A Shuster, OD is 1821074923. It was assigned on December 20, 2005 and is currently active in the NPPES registry.
What is the specialty of Kenneth A Shuster, OD?
Kenneth A Shuster, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 03856.
Where does Kenneth A Shuster, OD practice?
The practice location is 4827 Atlantic Ave, Ventnor, NJ 08406-3004. The office can be reached at 609-487-0010 (phone) or 609-487-0163 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1821074923 directly on the NPPES registry website.