Active NPI
Donald Y. Stiles, O.D.
- Optometrist
- Orange, MA
National Provider Identifier
1114943149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2608
- Practice address
- 119 New Athol Rd
Orange, MA 01364 - Phone
- (978) 249-9033
- Fax
- (978) 249-9020
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 2608 | MA | Primary |
Addresses
Primary practice location
119 New Athol Rd
Orange, MA 01364
Mailing address
788 Burts Pit Rd
Florence, MA 01062-3619
Phone (413) 586-7772
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2608 | MA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114943149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "788 BURTS PIT RD",
"city": "FLORENCE",
"state": "MA",
"postal_code": "010623619",
"telephone_number": "413-586-7772",
"fax_number": "413-586-7742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 NEW ATHOL RD",
"city": "ORANGE",
"state": "MA",
"postal_code": "01364",
"telephone_number": "978-249-9033",
"fax_number": "978-249-9020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STILES",
"first_name": "DONALD",
"middle_name": "Y.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "2608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.