STACEY L ACKERMAN MD - NPI 1508868498 - Ophthalmology in Philadelphia, PA

Q: What is Stacey Ackerman's NPI number?

The NPI number for Stacey Ackerman is 1508868498. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Q: What is Stacey Ackerman's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Ackerman was last updated on January 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Stacey L Ackerman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY L ACKERMAN MD (NPI 1508868498) is an individual ophthalmology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD031968E) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1508868498

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameSTACEY L ACKERMANCredential: MD

Location Address1930 S BROAD ST UNIT 9Philadelphia, PA 19145-2328

Mailing Address1930 S Broad St Unit 9Philadelphia, PA 19145-2328 · (215) 339-8100 · Fax (215) 339-8103

Phone(215) 339-8100

Fax(215) 339-8103

Sole ProprietorNo

Enumeration DateAugust 11, 2005

Last NPPES UpdateJanuary 13, 2020

✔ NPI 1508868498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in PA · MD031968E✔ Licensed in NJ · 25MA04606000

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1930 S BROAD ST UNIT 9, Philadelphia, PA 19145

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Other Identifiers 1

Medicaid0903906PA

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATARACT LASER AND AESTHETICS AT PHILADELPHIA EYE LLC

Clinic/Center (Ambulatory Surgical)