Individual
DR. THOMAS ALTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
290 MAIN ST, RIDGEFIELD PARK, NJ 07660-1534
(201) 440-1273
(201) 440-1274
Mailing address
PO BOX 275, RIDGEFIELD PARK, NJ 07660-0275
(201) 440-1273
(201) 440-1274
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00374800
NJ
152W00000X
Optometrist
27OM00013300
NJ
152W00000X
Optometrist
CDS#D09092900
NJ
152W00000X
Optometrist
TUV003432-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0988502
—
NJ
Enumeration date
07/14/2005
Last updated
10/15/2012
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