Stellamaria Ngozi Korieocha, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00549800 Issued in NJ

Practice address

311 Main St
Orange, NJ 07050-3607

Phone

(973) 673-5773

Fax

(973) 673-5794

NPI assigned

Jan 31, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

State University of New York - State College Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Truway Vision Care PA

  • Optometrist
  • Orange, NJ
  • NPI 1043387178
  Medicare reassignment Authorized official
• Plainfield Eye Associates PA

  • Optometrist
  • South Plainfield, NJ
  • NPI 1104902980
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242604800000",
    "number": "1154468973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 MAIN ST",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070503607",
            "telephone_number": "973-673-5773",
            "fax_number": "973-673-5794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 MAIN ST",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070503607",
            "telephone_number": "973-673-5773",
            "fax_number": "973-673-5794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORIEOCHA",
        "first_name": "STELLAMARIA",
        "middle_name": "NGOZI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2009-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00549800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7455801",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Michael Juliano, D.C.
• Najmusseher Khan, RPH
• Nikkisha Knight
• Karen G Koch-Ramirez, LCSW
• Veniamin Kofanov, DMD
• Martine Lamour, LPC
• Las Valdez Home Care
• Las Valdez Home Care
• Frank Daniel Latorraca, DMD
• Evelyn N Lekunze

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.