Provider Demographics
NPI:1750045779
Name:STEVEN L SILVERSTONE OD PA
Entity Type:Organization
Organization Name:STEVEN L SILVERSTONE OD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:SILVERSTONE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:561-366-2643
Mailing Address - Street 1:8226 CINCH WAY
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-6707
Mailing Address - Country:US
Mailing Address - Phone:561-716-1461
Mailing Address - Fax:
Practice Address - Street 1:10316 FOREST HILL BLVD
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-3106
Practice Address - Country:US
Practice Address - Phone:561-366-2643
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-26
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty