Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114079753 Individual Practitioner Male Practitioner

Dr. Alan Stofenberg , OD

Optometrist • Hicksville, NY

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Alan Stofenberg, OD is a registered healthcare professional specializing in Optometrist in Hicksville, NY. Official NPI practice address is registered at 881 BROADWAY MALL.

Practice Location & Contact Primary Location

Practice Address

881 Broadway Mall

Hicksville, NY 118012712

Telephone 5169386006
Associated Practice Facility / Clinic
🏢 Annette Optical Inc Facility NPI 1437222585

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Hicksville, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.7 Yrs
State Avg: 23.8 Yrs
Regional Practice Density
7 Specialists

Practicing in Hicksville, NY (3674 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License NY NY3501

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00338725 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1922695550

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 09, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location September 09, 2009

Registered at 881 BROADWAY MALL, HICKSVILLE, NY 118012712 (Tel: 5169386006)

📍
Updated Business Mailing Address September 09, 2009

Registered at 19 ABBOT RD, SMITHTOWN, NY 117872322 (Tel: 6319798313)

👤
Provider Name / Credentials Updated September 09, 2009

Recorded as ALAN STOFENBERG, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2009

Optometrist (License #NY3501 in NY)

🟢
Initial NPI Registration & Enumeration January 16, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114079753
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 16, 2007
Last Update: September 09, 2009
Sole Proprietor: No

Mailing Address

19 Abbot Rd

Smithtown, NY 117872322

Phone: 6319798313

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.