Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 27OA00437900 | NJ |
NPI | 1013190511 |
---|---|
Provider Name | Suzanne R Offen |
First Address | Westfield, NJ 07090-3300 |
Second Address | Westfield, NJ 07090-3312 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2007 |
Last Update Date | 14/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000034945 | HORIZON BC/BS OF NJ (01) | NJ |
223335532 | AETNA HEALTHCARE (01) | NJ |
223335532 | BANKERS LIFE/CASUALTY (01) | NJ |
223335532 | GREAT WEST (01) | NJ |
223335532 | HEALTHNET (01) | NJ |
223335532 | I.E. SHAFFER & CO. (01) | NJ |
223335532 | MUTUAL OF OMAHA (01) | NJ |
223335532 | NGS (01) | NJ |
223335532 | UNITED HEALTHCARE (01) | NJ |
3319008 | (05) | NJ |
41006253 | RAILROAD MEDICARE (01) | NJ |
6638968 | CIGNA HEALTHCARE (01) | NJ |
U26913 | (02) | NJ |