Active NPI
Mark Shteir, O.D.
- Optometrist
- Hazlet, NJ
National Provider Identifier
1851300669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00300100
- Practice address
- 3013 State Route 35
Hazlet Plaza
Hazlet, NJ 07730-1526 - Phone
- (732) 739-4000
- Fax
- (732) 739-4002
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- 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 | 27OA00300100 | NJ | Primary |
Addresses
Primary practice location
3013 State Route 35
Hazlet Plaza
Hazlet, NJ 07730-1526
Mailing address
3013 State Route 35
Hazlet Plaza
Hazlet, NJ 07730-1526
Phone (732) 739-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4786904 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27OA00300100 | NJ | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283990400000",
"number": "1851300669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3013 STATE ROUTE 35",
"address_2": "HAZLET PLAZA",
"city": "HAZLET",
"state": "NJ",
"postal_code": "077301526",
"telephone_number": "732-739-4000",
"fax_number": "732-739-4002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3013 STATE ROUTE 35",
"address_2": "HAZLET PLAZA",
"city": "HAZLET",
"state": "NJ",
"postal_code": "077301526",
"telephone_number": "732-739-4000",
"fax_number": "732-739-4002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHTEIR",
"first_name": "MARK",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2010-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00300100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4786904",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hazlet, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.