Individual provider Active NPI

Stefanie A Haines, O.D.

  • Optometrist
  • Vineland, NJ
National Provider Identifier
1982044319
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
270A00645800 Issued in NJ
Practice address
251 S Lincoln Ave
Vineland, NJ 08361-7802
Phone
(856) 691-8188
Fax
(856) 500-6001
NPI assigned
Jun 29, 2013
Last updated
May 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 270A00645800 NJ Primary

Addresses

Primary practice location

251 S Lincoln Ave
Vineland, NJ 08361-7802

Mailing address

251 S Lincoln Ave
Vineland, NJ 08361-7802
Phone (856) 691-8188

Other names 1

  • Stefanie A Naumovitz Former name

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
I20131106000262 NJ Practitioner - Optometry 5991930695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Friedberg Eye Associates PAGroup PAC ID 5395896153, 8 clinicians

Practice addresses (Care Compare)

5 Myers Dr
Suite 101
Mullica Hill, NJ 08062-9517
Phone (856) 845-7968

Merit-based Incentive Payment System (MIPS)

Final score
91.52 of 100Reported as group
Quality
95.9
Promoting interoperability
100
Improvement activities
40
Cost
75.81

Merit-based Incentive Payment System (MIPS)

Final score
97.39 of 100Reported as group
Quality
94.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
270A00645800NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Friedberg Eye Associates PA Optometrist CurrentSince Jun 15, 2024 Accepting new patients

Locations

5 Myers Dr
Ste 101
Mullica Hill, NJ 08062
Phone (856) 832-4802

661 N Broad St
Woodbury, NJ 08096
Phone (856) 845-7968

Interoperability endpoints

  • Direct secure messaging: shaines@friedbergeye.imwdirect.com

Organizations & group practices 1

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": "1372464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1982044319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 S LINCOLN AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083617802",
            "telephone_number": "856-691-8188",
            "fax_number": "856-500-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 S LINCOLN AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083617802",
            "telephone_number": "856-691-8188",
            "fax_number": "856-500-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINES",
        "first_name": "STEFANIE",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-29",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00645800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEFANIE",
            "last_name": "NAUMOVITZ",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.