Provider Demographics
NPI:1538298211
Name:BUCHMAN, STEVEN (OD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:BUCHMAN
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 1:55 STATE ROUTE 34
Mailing Address - Street 2:SUITE A
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-1957
Mailing Address - Country:US
Mailing Address - Phone:732-946-9686
Mailing Address - Fax:
Practice Address - Street 1:55 STATE ROUTE 34
Practice Address - Street 2:SUITE A
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-1957
Practice Address - Country:US
Practice Address - Phone:732-946-9686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00383400152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
U 26881Medicare UPIN