Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH A SHUSTER, OD
Active Sole ProprietorKENNETH A SHUSTER, OD is a Optometrist healthcare provider located in VENTNOR, New Jersey. NPI 1821074923 is currently active in the NPPES registry. Verify at CMS.
Optometrist · VENTNOR, NJ
Registration Details
- NPI Number
- 1821074923
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 20, 2005 (20.671435182312 yrs)
- Last Updated
- Jul 27, 2011
- Licenses
-
03856 (NJ)24500 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4827 ATLANTIC AVEVENTNOR, NJ, 084063004Browse NJ providers · Browse ZIP 08406
- Phone
- 6094870010
- Fax
- 6094870163
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Vision Therapy Optometrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.