Provider Demographics
NPI:1053501023
Name:STEFAN, AARON L (OD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:L
Last Name:STEFAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4 AIR DANCER LN
Mailing Address - Street 2:
Mailing Address - City:COLTS NECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07722-1817
Mailing Address - Country:US
Mailing Address - Phone:732-244-4322
Mailing Address - Fax:732-244-4320
Practice Address - Street 1:413 LAKEHURST RD
Practice Address - Street 2:BLDG 1
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-7382
Practice Address - Country:US
Practice Address - Phone:732-244-4322
Practice Address - Fax:732-244-4320
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2015-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00609500152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1396796546OtherTHE EYE HEALTH GROUP OF TOMS RIVER NPI
NJ223791991OtherLOCAL 1199 SEIU
NJ40797OtherAVESIS
NJ223791991OtherHORIZON BCBS OF NJ
NJ114678Medicare PIN
NJ043721860OtherTHE EYE HEALTH GROUP TIN
NJ4531737OtherAETNA
NJ230285OtherUS FAMILY HEALTH PLAN
NJ223791991OtherCONSUMER HEALTH NETWORK
NJ204100761OtherTHE EYE HEALTH GROUP OF PARAMUS TIN
NJ204100926OtherTHE EYE HEALTH GROUP OF TOTOWA TIN
NJ223791991OtherGREAT WEST HEALTHCARE
NJ223791991OtherMULTIPLAN
NJOP2339OtherEYEMED VISION CARE
NJ203095550OtherEYE HEALTH GROUP OF SPRINGFIELD TIN
NJ223791991OtherQUALCARE
NJ223791991OtherSUPERIOR VISION PLAN
NJ2862245000OtherAMERIHEALTH
NJ116573OtherLOCAL 825 OPERATING ENGINEERS
NJ9485301OtherPHCS
NJ3933217OtherCIGNA HEALTHCARE
NJ510661700OtherTHE EYE HEALTH GROUP OF MAYS LANDING TIN