Active NPI
Parkwood Eyecare Associates, LLC
- Optometrist
- Wisconsin Rapids, WI
National Provider Identifier
1285804807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1687035
- 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, 2013
- 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
- Stephen Carl Sternitzky, O.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285804807 | Medicaid | WI |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Optometrist
- Wisconsin Rapids, WI
- NPI 1790768968
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.