Steven a. Odrich,MD, Marc G. Odrich, MD, PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

179385 Issued in NY

Legal business name

STEVEN A. ODRICH,MD, MARC G. ODRICH, MD, PC

Practice address

3765 Riverdale Ave
Bronx, NY 10463-1845

Phone

(718) 432-2020

Fax

(718) 432-8482

NPI assigned

Jun 16, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Florence A Hattasch

Title

Manager

Phone

(718) 432-2020

Specialties & licenses 2

Addresses

Other identifiers 8

Locations

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1801056619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3765 RIVERDALE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631845",
            "telephone_number": "718-432-2020",
            "fax_number": "718-432-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3765 RIVERDALE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631845",
            "telephone_number": "718-432-2020",
            "fax_number": "718-432-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN A. ODRICH,MD, MARC G. ODRICH, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "HATTASCH",
        "authorized_official_first_name": "FLORENCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-432-2020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "179385",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "163491",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000B21",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7934148",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P452672",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01783462",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01444600",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1120632",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0052450",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "GS278",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Remy Stern
• Seth L Stern, MD
• Stephan Stern
• Stuart M Stern, DPM
• Briana Stetch, DPT
• Steven E Ginsberg D.P.M P.C.
• Steven Grenell MD PC
• Steven John Opticians PLLC
• Aaliytha Tashanna Stevens
• Adebola Stevens, RN

• Ophthalmology Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.