Individual provider Active NPI

Steffani Viveros, OD

  • Optometrist
  • Old Bridge, NJ
National Provider Identifier
1609409333
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00695200 Issued in NJ
Practice address
3111 US Highway 9
Old Bridge, NJ 08857-2690
Phone
(732) 679-2020
NPI assigned
Feb 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00695200 NJ Primary

Addresses

Primary practice location

3111 US Highway 9
Old Bridge, NJ 08857-2690

Mailing address

3111 US Highway 9
Old Bridge, NJ 08857-2690
Phone (732) 679-2020

Other identifiers 1

IdentifierTypeStateIssuer
331249981OtherNJGROUP TAX ID

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20221212001443 NJ Practitioner - Optometry 2961871017 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Eye Care of Old Bridge, PCGroup PAC ID 0143710939, 2 clinicians

Practice addresses (Care Compare)

3111 US 9
Old Bridge, NJ 08857-2690
Phone (732) 679-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00695200NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eye Care of Old Bridge, PC Optometrist CurrentSince Oct 1, 2025 Accepting new patients

Locations

3111 US Highway 9
Old Bridge, NJ 08857
Phone (732) 679-2020

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1609409333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 US HIGHWAY 9",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572690",
            "telephone_number": "732-679-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 US HIGHWAY 9",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572690",
            "telephone_number": "732-679-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVEROS",
        "first_name": "STEFFANI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-21",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00695200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP TAX ID",
            "identifier": "331249981",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

Verify at the official NPI Registry.