NPIMap

Organization Active NPI

David S Altenderfer OD LLC

  • Optometrist
  • Easton, PA
National Provider Identifier
1619420486
Registry record updated Jul 28, 2016
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
NPI assigned
Jul 28, 2016
Last updated
Jul 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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/Optometrist
Phone
(610) 258-4372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1619420486",
    "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S ALTENDERFER OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "ALTENDERFER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "610-258-4372",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY 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 Jul 28, 2016; 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.