Alvin Ira Stern, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

AO 4037 Issued in NJ

Practice address

75 W Main St
Penns Grove, NJ 08069-1301

Phone

(856) 299-2112

Fax

(856) 299-2147

NPI assigned

May 23, 2005

Last updated

May 18, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Alvin Stern

  • Optometrist
  • Penns Grove, NJ
  • NPI 1336384262
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242604800000",
    "number": "1003819236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 W MAIN ST",
            "city": "PENNS GROVE",
            "state": "NJ",
            "postal_code": "080691301",
            "telephone_number": "856-299-2112",
            "fax_number": "856-299-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 W MAIN ST",
            "city": "PENNS GROVE",
            "state": "NJ",
            "postal_code": "080691301",
            "telephone_number": "856-299-2112",
            "fax_number": "856-299-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "ALVIN",
        "middle_name": "IRA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2009-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "AO 4037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1514806",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kathryn Woge, PHARM. D.

• Optometrist in Penns Grove, NJ
• Providers in Penns Grove, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.