Individual provider Active NPI

Vicki Wasser Edelstein, O.D.

  • Optometrist
  • Maple Shade, NJ
National Provider Identifier
1710953963
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NJ 4979 Issued in NJ
Practice address
38 W Main St
Maple Shade, NJ 08052-2432
Phone
(856) 779-7595
Fax
(856) 779-7596
NPI assigned
Feb 27, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NJ 4979 NJ Primary

Addresses

Primary practice location

38 W Main St
Maple Shade, NJ 08052-2432

Mailing address

38 W Main St
Maple Shade, NJ 08052-2432
Phone (856) 779-7595

Other identifiers 12

IdentifierTypeStateIssuer
3416397OtherNJCIGNA
1013700MedicaidNJ
24019OtherNJAETNA
NJ84996OtherNJVISION BENFITS AMERICA
0149290001OtherNJMDCR DMERC
144717OtherNJCOLE VISION/EYEMED
35237OtherNJDAVIS VISION
648563OtherNJBC/BS PA
0479514000OtherNJAMERIHEALTH/KEYSTONE
26010OtherNJAMERICHOICE
26010OtherNJSPECTERA
2K1497OtherNJHEALTHNET

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
I20101124000333 NJ Practitioner - Optometry 4688860034 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daniel H Isaac OD PAGroup PAC ID 8325179781, 8 clinicians

Practice addresses (Care Compare)

2000 Route 38
Cherry Hill, NJ 08002-2100
Phone (856) 665-4111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NJ 4979NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel H. Isaac, O.D., P.a. CurrentSince Mar 6, 2025 Accepting new patients
Premier Eye Marlton, LLC Optometrist CurrentSince May 11, 2023 Accepting new patients
Medford Eyewear Center, Inc. Optometrist PastSince Mar 6, 1991 Accepting new patients
Luxottica of America Inc PastSince Mar 6, 2025 Accepting new patients

Locations

2000 Route 38
Cherry Hill, NJ 08002
Phone (856) 665-4111

571 Haddon Ave
Haddon Township, NJ 08108

500 Route 73 S
Ste A13
Marlton, NJ 08053
Phone (856) 242-8221

701 Route 73 N
Ste 3
Marlton, NJ 08053
Phone (856) 988-1118

3070 Bristol Pike
Ste 2-220
Bensalem, PA 19020
Phone 2144971001108

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1710953963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 W MAIN ST",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080522432",
            "telephone_number": "856-779-7595",
            "fax_number": "856-779-7596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 W MAIN ST",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080522432",
            "telephone_number": "856-779-7595",
            "fax_number": "856-779-7596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSER EDELSTEIN",
        "first_name": "VICKI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "NJ 4979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3416397",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013700",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "24019",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION BENFITS  AMERICA",
            "identifier": "NJ84996",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDCR DMERC",
            "identifier": "0149290001",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLE VISION/EYEMED",
            "identifier": "144717",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "35237",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PA",
            "identifier": "648563",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH/KEYSTONE",
            "identifier": "0479514000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "26010",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "26010",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2K1497",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Shade, NJ

Sources for this page

Verify at the official NPI Registry.