Provider Demographics
NPI:1346307923
Name:STEVEN G. PINARD, O.D., P.A.
Entity Type:Organization
Organization Name:STEVEN G. PINARD, O.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PINARD
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:609-485-2300
Mailing Address - Street 1:310 CHRIS GAUPP DR STE 101
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205-4461
Mailing Address - Country:US
Mailing Address - Phone:609-485-2300
Mailing Address - Fax:609-485-2301
Practice Address - Street 1:310 CHRIS GAUPP DR STE 101
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-4461
Practice Address - Country:US
Practice Address - Phone:609-485-2300
Practice Address - Fax:609-485-2301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2017-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00486200152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ123164Medicare PIN
NJW87493Medicare UPIN