Organization Active NPI

Stephen B. Rothstein,O.D.

  • Optometrist
  • North Lauderdale, FL
National Provider Identifier
1427449594
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC001180 Issued in FL
Legal business name
STEPHEN B. ROTHSTEIN,O.D.
Practice address
7900 W McNab Rd
North Lauderdale, FL 33068-4303
Phone
(954) 722-9151
Fax
(954) 597-7222
NPI assigned
Feb 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Authorized official

Name
Dr. Stephen B Rothstein, O.D.
Title
Optometrist
Phone
(954) 722-9151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC001180 FL Primary

Addresses

Primary practice location

7900 W McNab Rd
North Lauderdale, FL 33068-4303

Mailing address

7900 W McNab Rd
North Lauderdale, FL 33068-4303
Phone (954) 722-9151

Other identifiers 2

IdentifierTypeStateIssuer
621119400MedicaidFL
19375OtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1427449594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 W MCNAB RD",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330684303",
            "telephone_number": "954-722-9151",
            "fax_number": "954-597-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 W MCNAB RD",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330684303",
            "telephone_number": "954-722-9151",
            "fax_number": "954-597-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN B. ROTHSTEIN,O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "ROTHSTEIN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "954-722-9151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC001180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621119400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "19375",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.