Nicholas A Stathopoulos, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

205998 Issued in PA

Practice address

1890 Colvin Blvd
Tonawanda, NY 14150-6964

Phone

(716) 837-5200

Fax

(716) 837-8750

NPI assigned

Oct 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

State University of New York at Buffalo School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.92 of 100Reported as individual

Quality

84.78

Improvement activities

40

Cost

76.7

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Eyesight Ophthalmology P.C.

  dba EyeSight Medical Center

  • Ophthalmology Physician
  • Tonawanda, NY
  • NPI 1093810830
  Medicare reassignment NPD Authorized official
• Seneca Eye Surgeons, Inc.

  • Ophthalmology Physician
  • Bradford, PA
  • NPI 1538237011
  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190937600000",
    "number": "1487642682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 COLVIN BLVD",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141506964",
            "telephone_number": "716-837-5200",
            "fax_number": "716-837-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 COLVIN BLVD",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141506964",
            "telephone_number": "716-837-5200",
            "fax_number": "716-837-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATHOPOULOS",
        "first_name": "NICHOLAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2007-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "205998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001804278",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01748136",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Spatafora, FNP
• Spenser a Soldano (Soldano Foot and Ankle)
• John Joseph Stachura, PT, DPT
• Jennifer Catherine Stack, OTR/L
• Star6 Transportation Inc
• William H Stephan, MD
• Colleen E Strasser
• Streetcraft LLC
• Nina M Strollo, M.D.
• John David Strom, D.C.

• Ophthalmology Physician in Tonawanda, NY
• Providers in Tonawanda, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.
• 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.