National Provider Identifier Database

JEFFREY S FORMAN, MD – NPI #1427056050
Ophthalmology

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.


Contact Information

JEFFREY S FORMAN, MD
1233 HADDONFIELD-BERLIN RD.
UNIT 5
VOORHEES TOWNSHIP, NJ08043
Phone: 856-767-7800
Fax: 856-767-7833
Website:
Specialty Taxonomy Code
* Ophthalmology 207W00000X

* Indicates primary specialty

NPI Profile & details for JEFFREY S FORMAN

NPI Number 1427056050
Credentials MD
Entity Individual
Enumeration date 07/08/2005
Last updated 10/30/2020 - About 6 years ago
Sole proprietor1 Yes
Identifiers
  • NJ License #: 25MA05362500
  • NJ License #: MA053625
  • NJ Medicaid: 5487102
  • Other: 0116068 AETNA USHC
  • Other: 01000291200 AMERICHOICE
  • Other: 0669592003 CIGNA
  • Other: F12106 HEALTHNET
  • Other: 2323931000 KEYSTONE/AMERIHEALTH
  • Other: JS197 OXFORD
  • Other: 577563 PENNSYLVANIA BLUE CROSS
  • Other: 942683 UNITED HEALTHCARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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