Active NPI
The Healing Edge Vision
- Surgery Physician
- Ridgecrest, CA
National Provider Identifier
1396920450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G633470
- Legal business name
- THE HEALING EDGE VISION
- Practice address
- 408 Laurkris CT
Ridgecrest, CA 93555-3573 - Phone
- (760) 384-2111
- Fax
- (760) 384-1901
- NPI assigned
- Jan 7, 2008
- 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. Paul Frederick Stemmer, MD
- Title
- Ceo
- Phone
- (760) 384-2111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G633470 | CA | Primary |
Addresses
Primary practice location
408 Laurkris CT
Ridgecrest, CA 93555-3573
Mailing address
408 Laurkris CT
Ridgecrest, CA 93555-3573
Phone (760) 384-2111
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199664000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199664000000",
"number": "1396920450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 LAURKRIS CT",
"city": "RIDGECREST",
"state": "CA",
"postal_code": "935553573",
"telephone_number": "760-384-2111",
"fax_number": "760-384-1901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 LAURKRIS CT",
"city": "RIDGECREST",
"state": "CA",
"postal_code": "935553573",
"telephone_number": "760-384-2111",
"fax_number": "760-384-1901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE HEALING EDGE VISION",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-07",
"last_updated": "2008-01-07",
"status": "A",
"authorized_official_last_name": "STEMMER",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "FREDERICK",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "760-384-2111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "CA",
"license": "G633470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgecrest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.