Provider Demographics
NPI:1154317154
Name:HUNTER, CALMAN M (OD)
Entity Type:Individual
Prefix:DR
First Name:CALMAN
Middle Name:M
Last Name:HUNTER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:138 CONSTITUTION WAY
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-2964
Mailing Address - Country:US
Mailing Address - Phone:908-658-4445
Mailing Address - Fax:908-658-9666
Practice Address - Street 1:32 NORTH AVE E
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-2113
Practice Address - Country:US
Practice Address - Phone:908-276-1332
Practice Address - Fax:908-276-1252
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-25
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ02682152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2579804Medicaid
NJT-93318Medicare UPIN
NJ521765Medicare ID - Type Unspecified