Organization Active NPI

Stella C Ohanenye OD LLC

Doing business as Star Vision Eye Care

  • Optometrist
  • Middletown, DE
National Provider Identifier
1184133605
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
I3-0001360 Issued in DE
Legal business name
STELLA C OHANENYE OD LLC
Doing business as
Star Vision Eye Care
Practice address
600 N Broad St Ste 12
Middletown, DE 19709-1032
Phone
(302) 563-8820
NPI assigned
Sep 27, 2017
Last updated
Oct 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Uchay Ohanenye
Title
Cpa
Phone
(302) 563-8820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X I3-0001360 DE Primary

Addresses

Primary practice location

600 N Broad St Ste 12
Middletown, DE 19709-1032

Mailing address

600 N Broad St Ste 12
Middletown, DE 19709-1032
Phone (302) 563-8820

Other names 1

  • STAR VISION EYE CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171002002814 DE Part B Supplier - Clinic/Group Practice 5395010359 Receives reassigned benefits from 1 practitioner
Practice locations: Middletown, DE

National Provider Directory

National Provider Directory

Locations

600 N Broad St
Ste 12
Middletown, DE 19709
Phone (302) 563-8820

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1184133605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N BROAD ST STE 12",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091032",
            "telephone_number": "302-563-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N BROAD ST STE 12",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091032",
            "telephone_number": "302-563-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLA C OHANENYE OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-27",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "OHANENYE",
        "authorized_official_first_name": "UCHAY",
        "authorized_official_title_or_position": "CPA",
        "authorized_official_telephone_number": "302-563-8820"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I3-0001360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAR VISION EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middletown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.