Active NPI
William James Stern, O.D.
- Optometrist
- Shawano, WI
National Provider Identifier
1013977347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1648
- Practice address
- 153 Woodlawn Dr
Shawano, WI 54166-2233 - Phone
- (715) 524-2553
- Fax
- (715) 524-6383
- NPI assigned
- Mar 23, 2006
- Last updated
- Dec 1, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1648 | WI | Primary |
Addresses
Primary practice location
153 Woodlawn Dr
Shawano, WI 54166-2233
Mailing address
153 Woodlawn Dr
Shawano, WI 54166-2233
Phone (715) 524-2553
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38505300 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectacular Visions LTD | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417392000000",
"number": "1013977347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 WOODLAWN DR",
"city": "SHAWANO",
"state": "WI",
"postal_code": "541662233",
"telephone_number": "715-524-2553",
"fax_number": "715-524-6383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 WOODLAWN DR",
"city": "SHAWANO",
"state": "WI",
"postal_code": "541662233",
"telephone_number": "715-524-2553",
"fax_number": "715-524-6383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "WILLIAM",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2014-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "1648",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38505300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shawano, WI
- St Vincent Hospital-Hospital Sisters-Third Order of St Francis (Prevea Health ENT)
- St Vincent Hospital-Hospital Sisters-Third Order of St. Francis (Prevea Health)
- Morgan Steffens, PHARMD
- Paige Steinbrecher, MS CF-SLP
- Lynn Steinhaus, PT
- Rebecca Marie Stevens, DDS
- Strive Behavioral Solutions, LLC (Strive Behavioral Solutions)
- Amy Stuber, D.C.
- Gene Anthony Stuber
- Sweetgrass Behavioral Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.