Provider Demographics
NPI:1376742908
Name:DEGIRMEN, AHMET (OD)
Entity Type:Individual
Prefix:DR
First Name:AHMET
Middle Name:
Last Name:DEGIRMEN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:639 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4150
Mailing Address - Country:US
Mailing Address - Phone:732-757-7560
Mailing Address - Fax:732-820-9917
Practice Address - Street 1:639 BROAD ST
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4150
Practice Address - Country:US
Practice Address - Phone:732-757-7560
Practice Address - Fax:732-820-9917
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-13
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00609800152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist