Stefan S. O'Connor M.D. P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

C10003896 Issued in DE

Legal business name

STEFAN S. O'CONNOR M.D. P.A.

Practice address

2055 Limestone Rd
Suite 103
Wilmington, DE 19808-5536

Phone

(302) 992-0238

Fax

(302) 992-9750

NPI assigned

Nov 18, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Stefan S. O'Connor, M.D.NPI 1023089489

Title

President

Phone

(302) 992-0238

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stefan S. O'Connor, M.D.

  • Ophthalmology Physician
  • Wilmington, DE
  • NPI 1023089489
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1013245786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 LIMESTONE RD",
            "address_2": "SUITE 103",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085536",
            "telephone_number": "302-992-0238",
            "fax_number": "302-992-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 LIMESTONE RD",
            "address_2": "SUITE 103",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085536",
            "telephone_number": "302-992-0238",
            "fax_number": "302-992-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEFAN S. O'CONNOR M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "STEFAN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-992-0238",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "DE",
            "license": "C10003896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000415101",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stay Balanced Global LLC
• Andrea Stearn
• Kenneth Stecher, LPC
• Meghan Elizabeth Steen, DPT
• Kelly Ann Steeves, RPH.
• Lisa Stefanavage, RPH
• Jennifer Et Stein, LPCMH
• Greta I Steinbach-Wallis, O.D.
• Ashley Steiner
• Joan E Steinhardt, PAC

• Ophthalmology Physician in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Ophthalmology Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.