Individual
DR. STEFFANI VIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3111 US HIGHWAY 9, OLD BRIDGE, NJ 08857-2690
(732) 679-2020
Mailing address
3111 US HIGHWAY 9, OLD BRIDGE, NJ 08857-2690
(732) 679-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00695200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
331249981
GROUP TAX ID
NJ
Enumeration date
02/21/2020
Last updated
07/14/2025
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