Kaufman, Stuart

Kaufman, Stuart is an individual health care provider with primary practice located at 16749 State Route 706 Ste 4 , Montrose PA 18801-6502. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kaufman, Stuart can be contacted via phone (570) 278-2279.

Contact Information

Primary practice address
16749 State Route 706 Ste 4 Montrose PA 18801-6502
Fax: (570) 278-4058
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG000837 Pennsylvania

Profile Details

NPI number 1417960576
LBN Legal business name Kaufman, Stuart
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Oct 8th, 2019 - about 7 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 1417960576 NPPES
Pennsylvania MEDICAID 001785548
Pennsylvania Other 20529
Pennsylvania Other 506554
Pennsylvania Other 072374
Pennsylvania Other KA287932
Pennsylvania Other 410041715

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