Individual provider Active NPI

Linda Maria Stolfo, O.D.

  • Corneal and Contact Management Optometrist
  • Raleigh, NC
National Provider Identifier
1487602272
Registry record updated Jan 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
1675 Issued in NC
Practice address
6617 Falls of Neuse Rd
Raleigh, NC 27615-6816
Phone
(919) 676-1300
Fax
(919) 676-7300
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 1675 NC Primary

Addresses

Primary practice location

6617 Falls of Neuse Rd
Raleigh, NC 27615-6816

Mailing address

6617 Falls of Neuse Rd
Raleigh, NC 27615-6816
Phone (919) 676-1300

Other identifiers 2

IdentifierTypeStateIssuer
89015GEMedicaidNC
015GEOtherNCBCBS

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
I20040630000935 NC Practitioner - Optometry 1557347986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6617 Falls of Neuse Rd
Raleigh, NC 27615-6878
Phone (919) 676-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1675NCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eyemax Optometry, PLLC CurrentSince Jul 23, 2003 Accepting new patients
Cary Eye Center Optometry PA Corneal and Contact Management Past Accepting new patients
Eyemax Optometry, PLLC Past Accepting new patients

Locations

6617 Falls of Neuse Rd
Ste 101
Raleigh, NC 27615

8331 Bandford Way
Ste 1
Raleigh, NC 27615

6617 Falls of Neuse Rd
Raleigh, NC 27615
Phone (919) 676-1300

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230854400000",
    "number": "1487602272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6617 FALLS OF NEUSE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156816",
            "telephone_number": "919-676-1300",
            "fax_number": "919-676-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6617 FALLS OF NEUSE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156816",
            "telephone_number": "919-676-1300",
            "fax_number": "919-676-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLFO",
        "first_name": "LINDA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2009-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NC",
            "license": "1675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89015GE",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "015GE",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.