Theodore F Shafman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00359100 Issued in NJ

Practice address

1700 Whitehorse Hamilton Square Rd
Campus Eye Group Suite a-1
Hamilton Square, NJ 08690-3536

Phone

(609) 587-2020

NPI assigned

Sep 29, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1275625139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WHITEHORSE HAMILTON SQUARE RD. SUITE A-1",
            "address_2": "CAMPUS EYE GROUP",
            "city": "HAMILTON SQUARE",
            "state": "NJ",
            "postal_code": "086903537",
            "telephone_number": "609-587-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WHITEHORSE HAMILTON SQUARE RD",
            "address_2": "CAMPUS EYE GROUP SUITE A-1",
            "city": "HAMILTON SQUARE",
            "state": "NJ",
            "postal_code": "086903536",
            "telephone_number": "609-587-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFMAN",
        "first_name": "THEODORE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00359100",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE005047P",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1728903-01",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Israel L Sanchez, MD
• Matthew Robert Schloss, D.M.D.
• Laura Marie Senf Shagon, BCBA
• Seniorcare of Hamilton LLC (Hamilton Cont. Care Ctr.)
• Serv Achievement Centers, Inc
• Sharon a Manto OD PC
• Nina Shimunov, OD
• Rohini Shivkumar
• Ashley Rose Shutack, ATC
• Aniela Siniakowicz, D.D.S.

• Optometrist in Hamilton Square, NJ
• Providers in Hamilton Square, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.