Provider Demographics
NPI:1164547782
Name:DR STEVEN D STARKMAN
Entity Type:Organization
Organization Name:DR STEVEN D STARKMAN
Other - Org Name:EYECARE PLUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:STARKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:201-941-3937
Mailing Address - Street 1:677 ANDERSON AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFFSIDE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07010-1919
Mailing Address - Country:US
Mailing Address - Phone:201-941-3937
Mailing Address - Fax:201-941-1944
Practice Address - Street 1:677 ANDERSON AVE
Practice Address - Street 2:
Practice Address - City:CLIFFSIDE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07010-1919
Practice Address - Country:US
Practice Address - Phone:201-941-3937
Practice Address - Fax:201-941-1944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2009-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJOA 4411332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1315610001Medicare NSC