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NPI Code Detail

MEDICARE: DR. ALAN SHAPIRO O.D.

MEDICARE:  DR. ALAN  SHAPIRO  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist27OA00349900NJ
2152W00000XOptometrist27TO00030200NJ

General Provider Information

NPI Number : 1750388153
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALAN SHAPIRO O.D.
Provider Business Mailing Address
First Line : 59 MEMORIAL PKWY
Second Line : P.O. BOX 125
City : ATLANTIC HIGHLANDS
State : NJ
Zip : 07716-1441
Country : US
Telephone Number : 732-291-4244
Fax Number : 732-291-4335
Provider Business Practice Location Address
First Line : 59 MEMORIAL PKWY
Second Line :
City : ATLANTIC HIGHLANDS
State : NJ
Zip : 07716-1441
Country : US
Telephone Number : 732-291-4244
Fax Number : 732-291-4335
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 07/09/2007

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Directions to “ DR. ALAN SHAPIRO O.D.” Practice Location

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