Deitz, Michael J

Deitz, Michael J is an individual health care provider with primary practice located at 601 Rte 37 W , Toms River NJ 08755-8050. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Deitz, Michael J can be contacted via phone (732) 244-4400.

Contact Information

Primary practice address
601 Rte 37 W Toms River NJ 08755-8050
Phone: (732) 244-4400
Fax: (732) 505-2171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 27OA00409400 New Jersey

Profile Details

NPI number 1114994837
LBN Legal business name Deitz, Michael J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Apr 28th, 2017 - about 9 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 1114994837 NPPES
New Jersey Other 410019838 RAILROAD MEDICARE
New Jersey MEDICAID 2012600 RAILROAD MEDICARE

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