Individual
DR. JENNIFER ERNESTINE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5746 BERKSHIRE VLY RD, OAK RIDGE, NJ 07438-9847
(973) 697-4550
Mailing address
2 SWEETFERN RD, STOCKHOLM, NJ 07460-1502
(270) 570-3102
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00599100
NJ
152W00000X
Optometrist
OEG001625
PA
152W00000X
Optometrist
TUV008044
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101564129
—
PA
01
—
410049675
RAILROAD MEDICARE
PA
Enumeration date
06/17/2006
Last updated
02/09/2022
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