Provider Demographics
NPI:1417038332
Name:ONUFER, JANET MARY (OD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:MARY
Last Name:ONUFER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08835-1806
Mailing Address - Country:US
Mailing Address - Phone:908-722-7434
Mailing Address - Fax:908-722-7005
Practice Address - Street 1:208 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08835-1806
Practice Address - Country:US
Practice Address - Phone:908-722-7434
Practice Address - Fax:908-722-7005
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00507300152W00000X
NJ27TO00003800152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5003200001Medicare NSC
NJON673625Medicare ID - Type Unspecified
NJU17873Medicare UPIN