Provider Demographics
NPI:1912409285
Name:SIDNEY J STERN VISUAL HEALTH CENTERS PA
Entity Type:Organization
Organization Name:SIDNEY J STERN VISUAL HEALTH CENTERS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SIDNEY
Authorized Official - Middle Name:J
Authorized Official - Last Name:STERN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-418-2025
Mailing Address - Street 1:7352 NW 34TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1266
Mailing Address - Country:US
Mailing Address - Phone:305-418-2025
Mailing Address - Fax:954-252-4490
Practice Address - Street 1:440 W 49TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3603
Practice Address - Country:US
Practice Address - Phone:305-828-5071
Practice Address - Fax:305-817-1416
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SIDNEY J STERN VISUAL HEALTH CENTERS PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-03-02
Last Update Date:2018-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty