Provider Demographics
NPI:1659323418
Name:LINKER, STEVEN B (OD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:B
Last Name:LINKER
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 1:50 ROUTE 9 N
Mailing Address - Street 2:SUITE 206
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-1574
Mailing Address - Country:US
Mailing Address - Phone:732-617-1717
Mailing Address - Fax:732-617-1313
Practice Address - Street 1:50 ROUTE 9 N
Practice Address - Street 2:SUITE 206
Practice Address - City:MORGANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07751-1574
Practice Address - Country:US
Practice Address - Phone:732-617-1717
Practice Address - Fax:732-617-1313
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV004434-1152W00000X
NJ27OM00044200152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00908232Medicaid
NJ8653003Medicaid
NJ051689Medicare PIN
NY00908232Medicaid
NYDD2276Medicare PIN
T49034Medicare UPIN