Doctor Name: | DR. AVERY NEAL SHULMAN |
NPI Number: | 1174532840 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.D. |
License Number: | |
Business Practice Address: | 530 Randall Rd South Elgin, IL - 601773315 |
Business Phone Number: | 8476971242 |
Business Fax Number: | 8476971243 |
Mailing Address: | 805 Sutton Dr, NORTHBROOK |
State: | IL |
Postal Code: | 600623015 |
Phone Number: | 8474989388 |
Fax Number: | |
NPI Enumeration Date: | 08/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |