MARK STADLEN (NPI# 1942479324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942479324 |
| Entity Type | Individual |
| Full Name | MARK STADLEN |
| Practice Address |
3803 Broadway Astoria NY 11103-4058 |
| Practice Telephone | 7189563000 |
| Practice Fax Number | 7182040227 |
| Mailing Telephone | 7189563000 |
| Mailing Fax Number | 7182040227 |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-02-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | TUV0040201 | NY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00695345 | 05 | |
| NY | BCBS | MS0C329210 | 01 |
| Street Address |
3803 BROADWAY |
| City | ASTORIA |
| State | NY |
| Zip Code | 11103-4058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248641 | Heather B Keltai | Counselor | 2585 48th St, Astoria, NY 11103 | 2020-09-03 |
| 1174132641 | Mohammed E Yousef | Physical Therapy Assistant | 37 09 Broadway,astoria., Apt 3a, New York, NY 11103 | 2020-07-30 |
| 1588177448 | Jasna Koltovska | Counselor | 3063 38th St Ste B1, Astoria, NY 11103 | 2017-11-14 |
| 1205363884 | Emanuel Papadopoulos | Dentist | 3044 36th St, Astoria, NY 11103 | 2017-05-15 |
| 1174986236 | Joyce Lynn Karpinski | Occupational Therapist | 25-95 45th St, Apt I, Astoria, NY 11103 | 2016-04-05 |
| 1306218847 | Leeat Perelmutter | Social Worker | 2847 34 Street, Apt 17, Astoria, NY 11103 | 2015-10-23 |
| 1740658723 | Cori Shahon | Specialist | 2569 49th Street, Astoria, NY 11103 | 2015-09-09 |
| 1245617539 | Alisa Neziraj | Registered Nurse | 3005 42nd Street, Astoria, NY 11103 | 2015-05-06 |
| 1912399189 | Brad Koegel | Case Manager/Care Coordinator | 30-46 35th Street, Astoria, NY 11103 | 2015-02-25 |
| 1477967826 | Wad Kadi | Pharmacist | 32-87 Steinway St, Long Island City, NY 11103 | 2014-06-13 |
| Find all providers in zip 11103 | ||||
| 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 |
|---|---|---|---|---|
| 1962018184 | Anna Dobrokhodova | Optometrist | 2425 29th St Apt 3f, Astoria, NY 11102-1642 | 2020-09-22 |
| 1477102333 | Rubana Rahman | Optometrist | 2520 32nd St Apt 1, Astoria, NY 11102-1792 | 2019-09-04 |
| 1407337439 | Mason Lang | Optometrist | 3612 28th Ave Apt 3r, Astoria, NY 11103-4549 | 2018-08-27 |
| 1871027607 | Roble Osman | Optometrist | 3117 23rd Ave Ste 2, Astoria, NY 11105-2408 | 2017-04-19 |
| 1699229740 | Justin Lewis | Optometrist | 2539 41st St, Astoria, NY 11103-3238 | 2016-08-06 |
| 1366840019 | Teresa Concha | Optometrist | 2606 12th St, Astoria, NY 11102-3724 | 2014-12-11 |
| 1205230091 | Vision of Yonkers, Inc. | Optometrist | 3119 Steinway St, Astoria, NY 11103-3908 | 2014-10-22 |
| 1215375241 | Rajat Shetty | Optometrist | 2176 21st St, Astoria, NY 11105-3618 | 2013-06-12 |
| 1851678809 | Indigo Optical Inc. | Optometrist | 3241 Steinway St Ste A, Astoria, NY 11103-4036 | 2011-11-04 |
| 1982895553 | Cosmos Total Optometry Care | Optometrist | 3117 23rd Ave, Astoria, NY 11105-2408 | 2007-08-07 |
| Find all providers in ASTORIA | ||||
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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.