Albert J Staab, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00598300 Issued in NJ

Practice address

65 Route 70 E Ste 3
Marlton, NJ 08053-1747

Phone

(856) 596-4416

NPI assigned

Jun 15, 2006

Last updated

Apr 21, 2021By 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 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Evesham Eye Associates, Inc.

  dba Marlton Eye Associates

  • Optometrist
  • Marlton, NJ
  • NPI 1619987062
  Medicare reassignment NPD Authorized official
• Marlton Eye Associates, PC

  • Optometrist
  • Marlton, NJ
  • NPI 1548281157
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1306880257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 ROUTE 70 E",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531747",
            "telephone_number": "856-985-0066",
            "fax_number": "856-985-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 ROUTE 70 E STE 3",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531747",
            "telephone_number": "856-596-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAAB",
        "first_name": "ALBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00598300",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NJ",
            "license": "27OA00598300",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "NJ",
            "license": "27OA00598300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDER TRANSACTION NUMBER PTAN",
            "identifier": "P00401966",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justine Diane Spisak-Mosher, DO
• Mary Spositi
• Lisa Maria Squeo, MA, LAC
• St Remi LLC
• Jessica St. Petery, M.A., B.C.B.A.
• Lisa A. Staas-Houser, MS, RD
• Jeremy D Staats, APN
• Anna Stachnik
• Stacie E Brown MSW LCSW LLC
• Stephen Stafford, D.O

• Optometrist in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.