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Individual

STEVEN J. SCHIFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
150 WOODBRIDGE CTR, SEARS OPTICAL DEPARTMENT, WOODBRIDGE, NJ 07095-1302
(732) 602-8011
(732) 602-6211
Mailing address
150 WOODBRIDGE CTR, SEARS OPTICAL DEPARTMENT, WOODBRIDGE, NJ 07095-1302
(732) 602-8011
(732) 602-6211

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00463300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11044
DAVIS VISION PROVIDER ID#
NJ
01
202864
MEDICARE PTAN
NJ
01
41022
AETNA PROVIDER ID NO.
NJ
01
918666
EYEMED PROVIDER ID NO.
NJ
Enumeration date
01/04/2007
Last updated
10/10/2014
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