Organization Active NPI

Parkwood Eyecare Associates, LLC

  • Optometrist
  • Wisconsin Rapids, WI
National Provider Identifier
1285804807
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1687035 Issued in WI
Legal business name
PARKWOOD EYECARE ASSOCIATES, LLC
Practice address
1220 Parkwood Dr
Wisconsin Rapids, WI 54494-5488
Phone
(715) 421-2111
Fax
(715) 421-2123
NPI assigned
Mar 11, 2008
Last updated
Oct 31, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

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

Authorized official

Name
Stephen Carl Sternitzky, O.D.NPI 1790768968
Title
Managing Partner
Phone
(715) 421-2111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1687035 WI Primary

Addresses

Primary practice location

1220 Parkwood Dr
Wisconsin Rapids, WI 54494-5488

Mailing address

1220 Parkwood Dr
Wisconsin Rapids, WI 54494-5488
Phone (715) 421-2111

Other identifiers 1

IdentifierTypeStateIssuer
1285804807MedicaidWI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383177600000",
    "number": "1285804807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 PARKWOOD DR",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544945488",
            "telephone_number": "715-421-2111",
            "fax_number": "715-421-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 PARKWOOD DR",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544945488",
            "telephone_number": "715-421-2111",
            "fax_number": "715-421-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWOOD EYECARE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2013-10-31",
        "status": "A",
        "authorized_official_last_name": "STERNITZKY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "715-421-2111",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1687035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285804807",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wisconsin Rapids, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; 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.