Todd M Stolzberg, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2888T Issued in TX

Practice address

910 Louisiana St Ste 175
Houston, TX 77002-4989

Phone

(713) 225-2600

Fax

(713) 225-2602

NPI assigned

Aug 22, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Executive Eye Care PLLC

  • Optometrist
  • Houston, TX
  • NPI 1669776100
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245346253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5502 DUMFRIES DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770964004",
            "telephone_number": "713-726-9392",
            "fax_number": "713-225-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 LOUISIANA ST STE 175",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770024989",
            "telephone_number": "713-225-2600",
            "fax_number": "713-225-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLZBERG",
        "first_name": "TODD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2888T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "00E54H",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ethan Martin Stoll, D.O.
• Brent Stoller
• Elizabeth Edith Stolte, LMSW
• Melanie Marie Stolte, APN
• Tijana Stolte, NP
• Stone Creek Hospice Care Inc.
• Stone Oak Emergency Physicians, PLLC
• Stone Oak Emergency, LLC
• E Karen Stone-Griner, M.D.
• Alexa Cohen Stone, MD

• Optometrist in Houston, TX
• Providers in Houston, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.