Individual provider Active NPI

Richard B. Stender, O.D.

  • Optometrist
  • Sistersville, WV
National Provider Identifier
1205830551
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
607OD Issued in WV
Practice address
624 Wells St
Sistersville, WV 26175-1324
Phone
(304) 652-2459
Fax
(304) 652-2459
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 607OD WV Primary

Addresses

Primary practice location

624 Wells St
Sistersville, WV 26175-1324

Mailing address

624 Wells St
Sistersville, WV 26175-1324
Phone (304) 652-2459

Other identifiers 6

IdentifierTypeStateIssuer
0150469000MedicaidWV
550548934-001OtherWVMS-BC-BS
221907OtherWVCARELINK HEALTH PLANS
55-0548934-00000OtherWVCORE SOURCE
H00607OtherWVTHE HEALTH PLAN
1021406OtherWVWV WORKERS COMP.

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

LicenseStateTypeSpecialty
607ODWVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Richard B. Stender Optometrist PastSince Oct 1, 1987 Accepting new patients
Sistersville Eyecare Center, Inc. Optometrist PastSince Feb 1, 2010 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207526400000",
    "number": "1205830551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 WELLS ST",
            "city": "SISTERSVILLE",
            "state": "WV",
            "postal_code": "261751324",
            "telephone_number": "304-652-2459",
            "fax_number": "304-652-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 WELLS ST",
            "city": "SISTERSVILLE",
            "state": "WV",
            "postal_code": "261751324",
            "telephone_number": "304-652-2459",
            "fax_number": "304-652-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENDER",
        "first_name": "RICHARD",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2008-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "607OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150469000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS-BC-BS",
            "identifier": "550548934-001",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARELINK HEALTH PLANS",
            "identifier": "221907",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORE SOURCE",
            "identifier": "55-0548934-00000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE HEALTH PLAN",
            "identifier": "H00607",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV WORKERS COMP.",
            "identifier": "1021406",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sistersville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.