Individual provider Active NPI

Riley Stahl, OD

  • Optometrist
  • Rock Hill, SC
National Provider Identifier
1356969877
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2650 Issued in NC
Practice address
356 Oakland Ave
Rock Hill, SC 29730-4064
Phone
(304) 203-6003
NPI assigned
Jul 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.2200 SC
Optometrist 152W00000X 2650 NC Primary

Addresses

Primary practice location

356 Oakland Ave
Rock Hill, SC 29730-4064

Mailing address

15933 Clayton Rd Ste 210
Ballwin, MO 63011-2172

Other practice location 1

113 Country Club Dr NE
Concord, NC 28025-2935
Phone (704) 786-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210416001663 NC Practitioner - Optometry 4284042938 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.2200SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates of Co LLC Optometrist CurrentSince Nov 27, 2023 Accepting new patients
Eye Care Associates of Co LLC Optometrist CurrentSince Nov 27, 2023 Accepting new patients

Locations

8925 Ridgeline Blvd
Ste 107
Highlands Ranch, CO 80129
Phone (303) 791-2727

15640 Don Lochman Ln
Ste C
Charlotte, NC 28277
Phone (704) 943-5110

11030 Golf Links Dr
Ste 204
Charlotte, NC 28277
Phone (704) 943-5110

18 Bowman Dr
Ste C
Waynesville, NC 28785
Phone (800) 624-6575

230 Kings Hwy E
Haddonfield, NJ 08033
Phone (856) 617-4858

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1356969877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15933 CLAYTON RD STE 210",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 OAKLAND AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304064",
            "telephone_number": "304-203-6003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 Country Club Dr NE",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280252935",
            "country_code": "US",
            "telephone_number": "704-786-7600",
            "fax_number": "704-792-2131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAHL",
        "first_name": "RILEY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-10",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "OPT.2200",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.