Active NPI
Richard B. Stender, O.D.
- Optometrist
- Sistersville, WV
National Provider Identifier
1205830551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 607OD
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0150469000 | Medicaid | WV | |
| 550548934-001 | Other | WV | MS-BC-BS |
| 221907 | Other | WV | CARELINK HEALTH PLANS |
| 55-0548934-00000 | Other | WV | CORE SOURCE |
| H00607 | Other | WV | THE HEALTH PLAN |
| 1021406 | Other | WV | WV 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
| License | State | Type | Specialty |
|---|---|---|---|
| 607OD | WV | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Richard B. Stender | Optometrist | Past | Accepting new patients |
| Sistersville Eyecare Center, Inc. | Optometrist | Past | 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.
-
- Optometrist
- Sistersville, WV
- NPI 1164610135
-
- Optometrist
- Sistersville, WV
- NPI 1689904419
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.