Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stacey L Ackerman, MD

Individual provider Ophthalmology Physician · NPI 1508868498

Stacey L Ackerman, MD is an Ophthalmology Physician in Philadelphia, Pennsylvania. Licensed in New Jersey and Pennsylvania. Registered with an NPI since 2005.

Licensed in
NJ, PA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1930 S Broad St Unit 9
Philadelphia, PA 19145-2328
Phone: (215) 339-8100
Fax: (215) 339-8103
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence MD031968E (PA)
Ophthalmology Physician Taxonomy 207W00000X · Licence 25MA04606000 (NJ)

Record details

NPI number1508868498
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 11, 2005
Last updated in NPPESJanuary 13, 2020
Certification dateJanuary 13, 2020
Mailing address1930 S Broad St Unit 9, Philadelphia, PA 19145-2328

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