Active NPI
Douglas Kent Stigge, O.D.
- Optometrist
- Manhattan, KS
National Provider Identifier
1104859065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1161-3
- Practice address
- 1202 Moro St
Manhattan, KS 66502-5353 - Phone
- (785) 539-6051
- Fax
- (785) 539-6074
- NPI assigned
- Jul 7, 2006
- 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 | 1161-3 | KS | Primary |
Addresses
Primary practice location
1202 Moro St
Manhattan, KS 66502-5353
Mailing address
1202 Moro St
Manhattan, KS 66502-5353
Phone (785) 539-6051
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100091190A | Medicaid | KS | |
| 480922478 | Other | KS | TRI-CARE |
| 704711 PAYER #90060 | Other | KS | FIRST GUARD |
| 100091190B | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050527000622 | KS | Practitioner - Optometry | 3971545005 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1161-3 | KS | MD | Optometrist |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274832000000",
"number": "1104859065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 MORO ST",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665025353",
"telephone_number": "785-539-6051",
"fax_number": "785-539-6074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 MORO ST",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665025353",
"telephone_number": "785-539-6051",
"fax_number": "785-539-6074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIGGE",
"first_name": "DOUGLAS",
"middle_name": "KENT",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2010-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KS",
"license": "1161-3",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100091190A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRI-CARE",
"identifier": "480922478",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST GUARD",
"identifier": "704711 PAYER #90060",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100091190B",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manhattan, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.