Stockmaster Enterprises Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010696 Issued in IL

Legal business name

STOCKMASTER ENTERPRISES INC

Doing business as

Eye Care At Home

Practice address

9750 Crescent Park Cir
243
Orland Park, IL 60462-7540

Phone

(708) 770-6404

NPI assigned

Jan 13, 2017

Last updated

Jan 13, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Krystle J Miller, O.D.

Title

President/Optometrist

Phone

(708) 770-6404

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eye Care At Home Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1053857078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9750 CRESCENT PARK CIR",
            "address_2": "243",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604627540",
            "telephone_number": "708-770-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 CRESCENT PARK CIR",
            "address_2": "243",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604627540",
            "telephone_number": "708-770-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOCKMASTER ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KRYSTLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "708-770-6404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578998936",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Care At Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sterling Endocrine Care Associates S C
• Sterling Primary Endocrine Care Associates S.C.
• Steven M French DPM
• Steven Zaeske DC LTD
• Alyssa Stevens
• Nancy Ellen Strack, OT
• Aja Streets
• Paul G Striegel, M.D.
• Francesca Marie Strolia
• Beth Struwing, PT

• Optometrist in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.