Organization Active NPI

Stellar Vision Inc

  • Eyewear Supplier
  • Oshkosh, WI
National Provider Identifier
1174684534
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
STELLAR VISION INC
Practice address
358 S Koeller St
Oshkosh, WI 54902-5546
Phone
(920) 233-0005
Fax
(920) 233-9097
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jean M. Sundstrom
Title
President of Corporation
Phone
(920) 233-0005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

358 S Koeller St
Oshkosh, WI 54902-5546

Mailing address

358 S Koeller St
Oshkosh, WI 54902-5546
Phone (920) 233-0005

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174684534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 S KOELLER ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549025546",
            "telephone_number": "920-233-0005",
            "fax_number": "920-233-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 S KOELLER ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549025546",
            "telephone_number": "920-233-0005",
            "fax_number": "920-233-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR VISION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUNDSTROM",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "920-233-0005"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.