Frederick William Stellhorn, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5215TPL Issued in CA

Practice address

140 N Fremont St
Suite a
Manteca, CA 95336-4725

Phone

(209) 823-3151

Fax

(209) 823-9712

NPI assigned

Sep 15, 2005

Reactivated

Apr 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 8

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fred WM Stellhorn Optometric Corporation

  dba Manteca Optometric Eye Care Center

  • Optometrist
  • Manteca, CA
  • NPI 1124290721
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786838400000",
    "number": "1457346330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 N FREMONT AVE",
            "address_2": "SUITE A",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364725",
            "telephone_number": "209-823-3151",
            "fax_number": "209-823-9712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N FREMONT ST",
            "address_2": "SUITE A",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364725",
            "telephone_number": "209-823-3151",
            "fax_number": "209-823-9712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELLHORN",
        "first_name": "FREDERICK",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2026-08-16",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5215TPL",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5215 TPL",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "5215TPL",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CA",
            "license": "5215TPL",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "5215TPL",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "CA",
            "license": "5215TPL",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "5215TPL",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "CA",
            "license": "5215TPL",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0052150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennah N Sparaco
• Preeti J. Srivatsa, MD
• Edward Joseph Stanford, MD
• Aniyah Stanley
• Stavros Stathoudakis, PHARMD
• Cheryl Ann Striplin, PHARMD.
• Ching-Fang Sun, MD
• Eric Suon
• William Louis Svoboda, PH.D.
• Brooke Swan

• Optometrist in Manteca, CA
• Providers in Manteca, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.