Active NPI
Stamm Family Optical P.C.
- Clinic/Center
- Seneca, PA
National Provider Identifier
1306020540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- OEG1355
- Legal business name
- STAMM FAMILY OPTICAL P.C.
- Practice address
- 3216 State Route 257
Duawl Professional Plaza #7
Seneca, PA 16346-0208 - Phone
- (814) 677-2685
- Fax
- (814) 677-2686
- NPI assigned
- Dec 24, 2007
- 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
- Dr. Amy Kristin Stamm, O.D.
- Title
- Optometrist/Owner
- Phone
- (814) 677-2685
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | OEG1355 | PA | Primary |
Addresses
Primary practice location
3216 State Route 257
Duawl Professional Plaza #7
Seneca, PA 16346-0208
Mailing address
PO Box 208
Seneca, PA 16346-0208
Phone (814) 677-2685
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA01355 | Other | PA | VBA |
| OP2391 | Other | PA | EYEMED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3216 State Route 257
Seneca, PA 16346
Phone (814) 677-2685
3216 State Route 257
#7
Seneca, PA 16346
Phone (814) 677-2685
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Seneca, PA
- NPI 1609990332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1198454400000",
"number": "1306020540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 208",
"city": "SENECA",
"state": "PA",
"postal_code": "163460208",
"telephone_number": "814-677-2685",
"fax_number": "814-677-2686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3216 STATE ROUTE 257",
"address_2": "DUAWL PROFESSIONAL PLAZA #7",
"city": "SENECA",
"state": "PA",
"postal_code": "163460208",
"telephone_number": "814-677-2685",
"fax_number": "814-677-2686"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAMM FAMILY OPTICAL P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-24",
"last_updated": "2007-12-24",
"status": "A",
"authorized_official_last_name": "STAMM",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "KRISTIN",
"authorized_official_title_or_position": "OPTOMETRIST/OWNER",
"authorized_official_telephone_number": "814-677-2685",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "PA",
"license": "OEG1355",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VBA",
"identifier": "PA01355",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "OP2391",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seneca, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.