Provider Demographics
NPI:1477600385
Name:SCHIFF, STEVEN J (OD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:J
Last Name:SCHIFF
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 WOODBRIDGE CTR
Mailing Address - Street 2:SEARS OPTICAL DEPARTMENT
Mailing Address - City:WOODBRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07095-1302
Mailing Address - Country:US
Mailing Address - Phone:732-602-8011
Mailing Address - Fax:732-602-6211
Practice Address - Street 1:150 WOODBRIDGE CTR
Practice Address - Street 2:SEARS OPTICAL DEPARTMENT
Practice Address - City:WOODBRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07095-1302
Practice Address - Country:US
Practice Address - Phone:732-602-8011
Practice Address - Fax:732-602-6211
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2014-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00463300152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ11044OtherDAVIS VISION PROVIDER ID#
NJ202864OtherMEDICARE PTAN
NJ41022OtherAETNA PROVIDER ID NO.
NJ918666OtherEYEMED PROVIDER ID NO.
NJ11044OtherDAVIS VISION PROVIDER ID#
NJ41022OtherAETNA PROVIDER ID NO.