STC PEDIATRICS LLC (NPI# 1194363291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194363291 |
| Entity Type | Organization |
| Organization Name | STC PEDIATRICS LLC |
| Other Organization Name | ST. CHRISTOPHER'S PEDIATRIC ASSOCIATES OPTOMETRY - SEWELL |
| Practice Address |
100 Kings Way E Ste C Sewell NJ 08080-2238 |
| Mailing Address |
Po Box 13579 Reading PA 19612-3579 |
| Practice Telephone | 8565820644 |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2020-01-08 |
| Authorized Official Name | GARY CONNER (CFO) |
| Authorized Official Telephone | 4846288181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| St. Christopher's Pediatric Associates Optometry - Sewell | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516279 | Stc Pediatrics LLC | Pediatrics | 3601 A St Fl Family, Philadelphia, PA 19134-1043 | 2020-07-23 |
| 1932722881 | Stc Pediatrics LLC | Orthopaedic Surgery | 301 S 7th Ave Ste 3120, West Reading, PA 19611-1495 | 2020-05-27 |
| 1649806217 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave Fl 3, Philadelphia, PA 19134-1011 | 2020-03-16 |
| 1033753439 | Stc Pediatrics LLC | Pediatrics | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-10-30 |
| 1861036279 | Stc Pediatrics LLC | Pediatrics | 300 E Hunting Park Ave, Philadelphia, PA 19124-6018 | 2019-10-30 |
| 1639713944 | Stc Pediatrics LLC | Pediatrics | 1201 Langhorne Newtown Rd Ste 401, Langhorne, PA 19047-1201 | 2019-10-30 |
| 1548804909 | Stc Pediatrics LLC | Psychiatry & Neurology | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-29 |
| 1962046474 | Stc Pediatrics LLC | Pediatrics | 301 Oxford Valley Rd Ste 1201, Yardley, PA 19067-7706 | 2019-10-29 |
| 1508466913 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-10-27 |
| 1548867476 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-10-05 |
| Street Address |
100 KINGS WAY E STE C |
| City | SEWELL |
| State | NJ |
| Zip Code | 08080-2238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548804909 | Stc Pediatrics LLC | Psychiatry & Neurology | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-29 |
| 1871131771 | Stc Pediatrics LLC | Pediatrics | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-12-11 |
| 1740825215 | Stc Pediatrics LLC | Pediatrics | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-11-08 |
| 1659916138 | Stc Pediatrics LLC | Pediatrics | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-11-08 |
| 1568006799 | Stc Pediatrics LLC | Ophthalmology | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-31 |
| 1417591645 | Stc Pediatrics LLC | Surgery | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-31 |
| 1063056208 | Stc Pediatrics LLC | Otolaryngology | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-31 |
| 1427692821 | Stc Pediatrics LLC | Internal Medicine | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-30 |
| 1194369504 | Stc Pediatrics LLC | Plastic Surgery | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-30 |
| 1801430202 | Stc Pediatrics LLC | Pediatrics | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679180301 | Peter Ansong | Pharmacist | 500 Egg Harbor Road, Sewell, NJ 08080 | 2020-09-27 |
| 1477018752 | Shi-iii Washington Township LLC | Alzheimer Center (Dementia Center) | 339 Greentree Road, Washington Township, NJ 08080 | 2019-01-31 |
| 1245741495 | Assoc. for Retarded Citizens. Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Fawn Drive, Sewell, NJ 08080 | 2017-10-16 |
| 1851802029 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 275 Greentree Road, Sewell, NJ 08080 | 2017-10-16 |
| 1598284770 | Bryan Hendricks | Psychologist | 123 Egg Harbor Rd., Suite 302, Sewell, NJ 08080 | 2017-09-19 |
| 1912426339 | Mary Faralli | Speech-Language Pathologist | 24 Upton Way, Sewell, NJ 08080 | 2017-09-18 |
| 1669990578 | Oaks Integrated Care | Clinic/Center | 322 Fishpond Rd, Sewell, NJ 08080 | 2017-08-31 |
| 1972032316 | Nutan K Ravani | Social Worker | 3 Heritage Valley Drive, Sewell, NJ 08080 | 2017-06-08 |
| 1447784038 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 224 West Warren Avenue, Sewell, NJ 08080 | 2017-04-20 |
| 1326572173 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 363 Ganttown Road, Turnersville, NJ 08080 | 2017-04-19 |
| Find all providers in zip 08080 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730276007 | Harold Martin Simmerman | Optometrist | 415 Woodbury Glassboro Road, Sewell, NJ 08080-4559 | 2006-10-06 |
| 1932205853 | Richard A Floyd | Optometrist | 415 Woodbury Glassboro Rd, Sewell, NJ 08080-4559 | 2006-09-16 |
| 1972985042 | Min Qin Chen | Optometrist | 141 Tuckahoe Rd Ste 460, Sewell, NJ 08080-3845 | 2015-06-24 |
| 1861833238 | Michelle Lynn Morawski | Optometrist | 141 Tuckahoe Rd, Sewell, NJ 08080-3844 | 2013-07-12 |
| 1851523989 | Hong Viet Nguyen | Optometrist | 141 Tuckahoe Rd, Suite 460, Sewell, NJ 08080-3844 | 2009-08-24 |
| 1588712814 | Drs Simmerman and Floyd Pa | Optometrist | 415 Woodbury Glassboro Rd, Sewell, NJ 08080-4559 | 2007-01-05 |
| 1417049941 | Steven Jon Simmerman | Optometrist | 415 Woodbury Glassboro Rd, Sewell, NJ 08080-4559 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316549 | Refocus Eye Health of Nj, P.C. | Optometrist | 3 Cooper Plz Rm 510, Camden, NJ 08103-1438 | 2020-11-02 |
| 1285231597 | Megan Mcdonald | Optometrist | 1933 Hwy 35, Wall Township, NJ 07719-3502 | 2020-10-08 |
| 1265039259 | Urvi Patel | Optometrist | 55 Westwood Ave, Westwood, NJ 07675-1713 | 2020-10-03 |
| 1679180855 | Your Eyes and You LLC | Optometrist | 386 Totowa Rd Ste B, Totowa, NJ 07512-2059 | 2020-09-30 |
| 1801408422 | Christian Efrain Crespo | Optometrist | 400 Perrine Rd Ste 400b, Old Bridge, NJ 08857-2811 | 2020-08-17 |
| 1841801487 | Stephanie Marie Cathell | Optometrist | 2401 Route 22 W Ste P, Union, NJ 07083-8519 | 2020-08-16 |
| 1356952105 | Felix Lee | Optometrist | 7500 Bergenline Ave Fl 2, North Bergen, NJ 07047-5401 | 2020-08-14 |
| 1720606270 | Sabahat B Amjad | Optometrist | 565 New Brunswick Ave Ste 201, Fords, NJ 08863-2162 | 2020-07-10 |
| 1952929903 | Eun Sang Lee | Optometrist | 300 Route 202 Ste 4, Raritan, NJ 08869-1352 | 2020-07-07 |
| 1467079897 | Jersey Eye Associates LLC | Optometrist | 462 White Horse Pike, Atco, NJ 08004-2442 | 2020-07-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.