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
Phone: (609) 742-3353
Fax: (609) 652-6770
Website:
Health care specialties
| Specialty | Code | License # | 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 10 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 | 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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