Healthcare Provider Details

I. General information

NPI: 1912409285
Provider Name (Legal Business Name): SIDNEY J STERN VISUAL HEALTH CENTERS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2018
Last Update Date: 03/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 W 49TH ST
HIALEAH FL
33012-3603
US

IV. Provider business mailing address

7352 NW 34TH ST
MIAMI FL
33122-1266
US

V. Phone/Fax

Practice location:
  • Phone: 305-828-5071
  • Fax: 305-817-1416
Mailing address:
  • Phone: 305-418-2025
  • Fax: 954-252-4490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: SIDNEY J STERN
Title or Position: PRESIDENT
Credential:
Phone: 305-418-2025