Robert William Stetekluh, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001004 Issued in VA

Practice address

4238 Wilson Blvd
Suite 3140
Arlington, VA 22203-1823

Phone

(703) 524-2800

Fax

(703) 524-9493

NPI assigned

Jan 22, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

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, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Era Eyecare LLCGroup PAC ID 3577696657, 6 clinicians

David M. Goldberg, O.D., P.C.Group PAC ID 9335266949, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• David M. Goldberg, O.D., P.C.

  • Optometrist
  • Alexandria, VA
  • NPI 1932334497

  DC, Optometrist

  Medicare reassignment Care Compare group NPD
• New Era Eyecare LLC

  • Point of Service
  • Clifton, VA
  • NPI 1801108576

  DC

  Medicare reassignment Care Compare group NPD
• New Era Eyecare, LLC

  • Optometrist
  • Sterling, VA
  • NPI 1518361534
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1164576005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 LITTLE RIVER TPKE",
            "address_2": "STE 110",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223125044",
            "telephone_number": "703-524-2800",
            "fax_number": "703-524-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4238 WILSON BLVD",
            "address_2": "SUITE 3140",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031823",
            "telephone_number": "703-524-2800",
            "fax_number": "703-524-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STETEKLUH",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "06-1711971",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen a Mabry DDS PLC
• Stephen Beecroft Specialty Partners of Virginia PLLC
• Brittnee Stephens
• Sharon Sterling, OTR L
• Ashley Stern
• Danielle Stetz
• Barbara A Stevens, M.D.
• Chrysanthi Stevens, OD
• Tonja Stevens, AGACNP-BC
• Alexandra C Stewart, PA-C

• All providers in Arlington, VA
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; 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.