Organization Active NPI

David S Altenderfer OD LLC

  • Optometrist
  • Easton, PA
National Provider Identifier
1013449230
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001271 Issued in PA
Legal business name
DAVID S ALTENDERFER OD LLC
Practice address
147 Palmer Park Mall
Easton, PA 18045-2759
Phone
(610) 258-4372
Fax
(610) 258-5878
NPI assigned
Mar 28, 2017
Last updated
Mar 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Authorized official

Name
Dr. David Steven Altenderfer, OD
Title
Owner
Phone
(484) 566-9242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001271 PA Primary

Addresses

Primary practice location

147 Palmer Park Mall
Easton, PA 18045-2759

Mailing address

518 Waller Way
Jeffersonville, PA 19403-3543
Phone (484) 566-9242

National Provider Directory

National Provider Directory

Locations

661 W Germantown Pike
Plymouth Meeting, PA 19462
Phone (610) 941-9780

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1013449230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 WALLER WAY",
            "city": "JEFFERSONVILLE",
            "state": "PA",
            "postal_code": "194033543",
            "telephone_number": "484-566-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 PALMER PARK MALL",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452759",
            "telephone_number": "610-258-4372",
            "fax_number": "610-258-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S ALTENDERFER OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "ALTENDERFER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-566-9242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.