Organization Active NPI

Stang Family Eyecare PC

  • Medical Specialty Clinic/Center
  • Marquette, MI
National Provider Identifier
1376618876
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
STANG FAMILY EYECARE PC
Practice address
622 N 3Rd St
Marquette, MI 49855-3520
Phone
(906) 226-8800
Fax
(906) 226-8802
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Authorized official

Name
Dr. Nancy D Stang, O.D.NPI 1841385051
Title
Owner
Phone
(906) 226-8800

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)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

622 N 3Rd St
Marquette, MI 49855-3520

Mailing address

622 N 3Rd St
Marquette, MI 49855-3520
Phone (906) 226-8800

Other identifiers 3

IdentifierTypeStateIssuer
P45990001OtherMIMEDICARE PROVIDER NUMBER
900E21080OtherMIBLUE CROSS AND BLUE SHIELD
0P45990OtherMIMEDICARE GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070720000879 MI Part B Supplier - Clinic/Group Practice 1254432115 Receives reassigned benefits from 3 practitioners
Practice locations: Marquette, MI
O20100930036389 MI DME Supplier - Physician - OptometristDME Supplier - Optician 1254432115 Practice locations: Marquette, MI

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Stang Family Eyecare PC622 N 3Rd St, Marquette, MI 49855-3520(906) 226-8800 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Feb 27, 2007

National Provider Directory

National Provider Directory

Locations

622 N 3rd St
Marquette, MI 49855
Phone (906) 226-8800

701 N 3rd St
Marquette, MI 49855
Phone (906) 226-8800

Practitioners & affiliated clinicians

Practitioners 3

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": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1376618876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 N 3RD ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553520",
            "telephone_number": "906-226-8800",
            "fax_number": "906-226-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 N 3RD ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553520",
            "telephone_number": "906-226-8800",
            "fax_number": "906-226-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANG FAMILY EYECARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2019-05-23",
        "status": "A",
        "authorized_official_last_name": "STANG",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "906-226-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "P45990001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "900E21080",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "0P45990",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.

Verify at the official NPI Registry.