Active NPI
Carnation Optical Inc.
- Optician
- Alliance, OH
National Provider Identifier
1285786095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 6204
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930040645 | OH | DME Supplier - Physician - Optometrist | 4981725736 | Practice locations: Alliance, OH |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Carnation Optical | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
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.