Individual provider Active NPI

Steven Sitkoff, O.D.

  • Optometrist
  • Exton, PA
National Provider Identifier
1720024771
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG0001040 Issued in PA
Practice address
47 Marchwood Rd
Suite 1-F
Exton, PA 19341-1835
Phone
(610) 363-2666
Fax
(610) 594-3606
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG0001040 PA Primary

Addresses

Primary practice location

47 Marchwood Rd
Suite 1-F
Exton, PA 19341-1835

Mailing address

47 Marchwood Rd
Suite 1-F
Exton, PA 19341-1835
Phone (610) 363-2666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20111116000278 PA Practitioner - Optometry 2668646225 Practice locations: Exton, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG0001040PAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720024771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 MARCHWOOD RD",
            "address_2": "SUITE 1-F",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411835",
            "telephone_number": "610-363-2666",
            "fax_number": "610-594-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 MARCHWOOD RD",
            "address_2": "SUITE 1-F",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411835",
            "telephone_number": "610-363-2666",
            "fax_number": "610-594-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITKOFF",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG0001040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

Verify at the official NPI Registry.