Provider Demographics
NPI:1740283035
Name:MORGANSTEIN, RICHARD LEVI (O D)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:LEVI
Last Name:MORGANSTEIN
Suffix:
Gender:M
Credentials:O D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5618 BERGENLINE AVE
Mailing Address - Street 2:
Mailing Address - City:WEST NEW YORK
Mailing Address - State:NJ
Mailing Address - Zip Code:07093-1232
Mailing Address - Country:US
Mailing Address - Phone:201-867-2942
Mailing Address - Fax:201-867-1777
Practice Address - Street 1:5618 BERGENLINE AVE
Practice Address - Street 2:
Practice Address - City:WEST NEW YORK
Practice Address - State:NJ
Practice Address - Zip Code:07093-1232
Practice Address - Country:US
Practice Address - Phone:201-867-2942
Practice Address - Fax:201-867-1777
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-31
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJOA5282/TO576152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5640504Medicaid
NJ5640504Medicaid
NJ476205ZB5RMedicare PIN