Provider Demographics
NPI:1578569737
Name:SINOWAY, STEPHEN LEONARD (OD, JD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:LEONARD
Last Name:SINOWAY
Suffix:
Gender:M
Credentials:OD, JD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1465 ROUTE 31 S
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:08801-3129
Mailing Address - Country:US
Mailing Address - Phone:908-730-6774
Mailing Address - Fax:908-730-9011
Practice Address - Street 1:1465 ROUTE 31 S
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:NJ
Practice Address - Zip Code:08801-3129
Practice Address - Country:US
Practice Address - Phone:908-730-6774
Practice Address - Fax:908-730-9011
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00506600152W00000X, 152WC0802X, 152WP0200X, 152WS0006X, 152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
No152WS0006XEye and Vision Services ProvidersOptometristSports Vision
No152WV0400XEye and Vision Services ProvidersOptometristVision Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ223342537OtherCONSUMER HEALTH NETWORK
NJHUS014OtherOXFORD
NJ110373OtherEYEMED
NJ32336OtherAETNA
NJ223342537OtherBEECH STREET
NJ12013OtherCOLE MANAGED CARE
NJ223342537OtherHORIZON BCBS
NJ223342537OtherVBA
NJ223342537OtherVISION SERVICE PLAN
NJ223342537OtherDEVON
NJU18438Medicare UPIN
NJ32336OtherAETNA
NJ223342537OtherHORIZON BCBS
NJ223342537OtherVISION SERVICE PLAN