Organization Active NPI

Carnation Optical Inc.

  • Optician
  • Alliance, OH
National Provider Identifier
1285786095
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
6204 Issued in OH
Legal business name
CARNATION OPTICAL INC.
Practice address
75 Glamorgan St Ste 111
Alliance, OH 44601-2938
Phone
(330) 821-5476
NPI assigned
Jan 18, 2007
Last updated
Nov 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Authorized official

Name
Mrs. Stephanie Lynn Stutler, L.D.O
Title
Owner
Phone
(330) 821-5476

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3920 OH
Optician 156FX1800X 6204 OH Primary

Addresses

Primary practice location

75 Glamorgan St Ste 111
Alliance, OH 44601-2938

Mailing address

75 Glamorgan St Ste 111
Alliance, OH 44601-2938
Phone (330) 821-5476

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930040645 OH DME Supplier - Physician - OptometristDME Supplier - Optician 4981725736 Practice locations: Alliance, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Carnation Optical75 Glamorgan St, Alliance, OH 44601-2938(330) 821-5476 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

2500 W State St
Ste 128
Alliance, OH 44601

75 Glamorgan St
Ste 111
Alliance, OH 44601
Phone (330) 821-5476

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1285786095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 GLAMORGAN ST STE 111",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446012938",
            "telephone_number": "330-821-5476",
            "fax_number": "330-821-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 GLAMORGAN ST STE 111",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446012938",
            "telephone_number": "330-821-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARNATION OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "STUTLER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-821-5476",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.D.O"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3920",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "OH",
            "license": "6204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.