Organization Active NPI

Willard J. Stamp

  • Durable Medical Equipment & Medical Supplies
  • Salem, OH
National Provider Identifier
1083886329
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
2549-T972 Issued in OH
Legal business name
WILLARD J. STAMP
Practice address
389 N Ellsworth Ave
Salem, OH 44460-2805
Phone
(330) 332-1200
NPI assigned
Mar 27, 2008
Last updated
Mar 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Willard J. Stamp, O.D.NPI 1518050806
Title
Optometrist
Phone
(330) 332-1200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 2549-T972 OH Primary

Addresses

Primary practice location

389 N Ellsworth Ave
Salem, OH 44460-2805

Mailing address

389 N Ellsworth Ave
Salem, OH 44460-2805
Phone (330) 332-1200

Other identifiers 1

IdentifierTypeStateIssuer
8368332MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1083886329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 N ELLSWORTH AVE",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602805",
            "telephone_number": "330-332-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 N ELLSWORTH AVE",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602805",
            "telephone_number": "330-332-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLARD J. STAMP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "STAMP",
        "authorized_official_first_name": "WILLARD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "330-332-1200",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "2549-T972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8368332",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.