DR. VICKI WASSER EDELSTEIN O.D. NPI 1710953963

NPI Information

  • NPI: 1710953963
  • Provider Name: DR. VICKI WASSER EDELSTEIN, O.D.
  • Classification: Optometrist - 152W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 38 W MAIN ST
    MAPLE SHADE, NJ
    ZIP 08052
  • Phone: (856) 779-7595

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NPI Details

DR. Vicki Wasser Edelstein, O.D. is an optometrist in Maple Shade, NJ with 37 years of experience. The provider is 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. DR. Vicki Wasser Edelstein, O.D. NPI is 1710953963. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: PENNSYLVANIA COLLEGE OF OPTOMETRY
Graduation Year:1989

The provider's business location address is:

38 W MAIN ST
MAPLE SHADE, NJ
ZIP 08052-432
Phone: (856) 779-7595
Fax: (856) 779-7596

The NPI 1710953963 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Photography of the retina (HCPCS:92250)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient complete exam of visual system (HCPCS:92014)

The enumeration date for this NPI number is 2/27/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristNJ 4979NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1648563OTHERNEW JERSEYBC/BS PA
2144717OTHERNEW JERSEYCOLE VISION/EYEMED
326010OTHERNEW JERSEYSPECTERA
435237OTHERNEW JERSEYDAVIS VISION
5648563MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
6NJ84996OTHERNEW JERSEYVISION BENFITS AMERICA
72K1497OTHERNEW JERSEYHEALTHNET
8U10519MEDICARE UPINNEW JERSEY
90149290001OTHERNEW JERSEYMDCR DMERC
103416397OTHERNEW JERSEYCIGNA
1126010OTHERNEW JERSEYAMERICHOICE
120479514000OTHERNEW JERSEYAMERIHEALTH/KEYSTONE
1324019OTHERNEW JERSEYAETNA
141013700MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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