Provider Demographics
NPI:1659352540
Name:STARKMAN, STEVEN D (OD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:D
Last Name:STARKMAN
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 1:489 CEDAR LN
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-1710
Mailing Address - Country:US
Mailing Address - Phone:201-836-9199
Mailing Address - Fax:201-357-4462
Practice Address - Street 1:489 CEDAR LN
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-1710
Practice Address - Country:US
Practice Address - Phone:201-836-9199
Practice Address - Fax:201-357-4462
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-08
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJOA 4411/TO 00261152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ036645Medicare PIN
NJU06330Medicare UPIN