Active NPI
Vicki Wasser Edelstein, O.D.
- Optometrist
- Maple Shade, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- NJ 4979
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3416397 | Other | NJ | CIGNA |
| 1013700 | Medicaid | NJ | |
| 24019 | Other | NJ | AETNA |
| NJ84996 | Other | NJ | VISION BENFITS AMERICA |
| 0149290001 | Other | NJ | MDCR DMERC |
| 144717 | Other | NJ | COLE VISION/EYEMED |
| 35237 | Other | NJ | DAVIS VISION |
| 648563 | Other | NJ | BC/BS PA |
| 0479514000 | Other | NJ | AMERIHEALTH/KEYSTONE |
| 26010 | Other | NJ | AMERICHOICE |
| 26010 | Other | NJ | SPECTERA |
| 2K1497 | Other | NJ | HEALTHNET |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| NJ 4979 | NJ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel H. Isaac, O.D., P.a. | Current | Accepting new patients | |
| Premier Eye Marlton, LLC | Optometrist | Current | Accepting new patients |
| Medford Eyewear Center, Inc. | Optometrist | Past | Accepting new patients |
| Luxottica of America Inc | Past | 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.
-
- Corneal and Contact Management Optometrist
- Cherry Hill, NJ
- NPI 1639368038
-
- Optometrist
- Medford, NJ
- NPI 1407893019
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.