Ernest Michael Staehle, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00621700 Issued in NJ

Practice address

117 Sparta Ave
Sparta, NJ 07871-1773

Phone

(215) 873-7826

NPI assigned

Jun 30, 2008

Last updated

Jan 15, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Optometry Group PAGroup PAC ID 0648296418, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Northwest Optometry Group, P.a.

  • Optometrist
  • Sparta, NJ
  • NPI 1801853254
  Medicare reassignment Care Compare group NPD
• Charles M. Cummins, OD., PA

  dba EyeDRx

  • Optometrist
  • Bloomfield, NJ
  • NPI 1598797722
  NPD
• Northwest Optometry Group, P.a.

  dba Sparta Eye Associates

  • Optometrist
  • Sparta, NJ
  • NPI 1770757379
  NPD

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1114189214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 COBB RD",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461228",
            "telephone_number": "215-873-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 SPARTA AVE",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711773",
            "telephone_number": "215-873-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAEHLE",
        "first_name": "ERNEST",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00621700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Spirko
• Cassidy Spohn, MA
• Sharon St. Angelo, APN
• Soraya St. Louis-Augustin
• Bonnie Joy Stackhouse, LCSW
• Kristin M Staple, LCSW
• Jonathan Paul Stark, PT DPT
• Jamie Steglic, LPC
• Stephen a. Kowalsky, O.D. (Family Vision Care)
• Susan Sterling, M.S.W., L.C.S.W.

• Optometrist in Sparta, NJ
• Providers in Sparta, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.