Steven Laderberg OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000078 Issued in VA

Legal business name

STEVEN LADERBERG OD

Practice address

5308 Providence Rd
Virginia Beach, VA 23464-4102

Phone

(757) 499-2020

NPI assigned

Feb 4, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Steven Laderberg, ODNPI 1538155577

Title

Owner

Phone

(757) 499-2020

Specialties & licenses 1

Addresses

Practitioners 1

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

• Steven Michael Laderberg, O.D.

  • Optometrist
  • Virginia Beach, VA
  • NPI 1538155577
  NPD (past) Authorized official

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1255579801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5254 JACOB CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234642518",
            "telephone_number": "757-499-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5308 PROVIDENCE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644102",
            "telephone_number": "757-499-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN LADERBERG OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "LADERBERG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-499-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Stepney
• Stepping Stones Behavior Support, PLLC
• Steps to Serenity - Virginia Beach, LLC
• Kelly L. Stern, M.D.
• Steven F. Waranch, Psy.D., PLC
• Amy Renee Stevens, COTA
• Christen Stephanie Stevens, MSN, APRN, ACCNS-AG,
• Christina Stevens, CPHT
• Theodore M Stevens, PH.D.
• Camela Stevenson

• Optometrist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.