Thomas R Stahl, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2647 Issued in OH

Practice address

3140 Dayton Xenia Rd
Beavercreek, OH 45434-6395

Phone

(937) 426-2212

Fax

(937) 426-3975

NPI assigned

Jul 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Visualeyes of Pennsylvania Inc.

  • Optometrist
  • Pittsburgh, PA
  • NPI 1114935525
  NPD (past) Authorized official
• T. R. Stahl & Assoc. Inc.

  • Optometrist
  • Beavercreek, OH
  • NPI 1740330703
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487679866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 DAYTON XENIA RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454346395",
            "telephone_number": "937-426-2212",
            "fax_number": "937-426-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 DAYTON XENIA RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454346395",
            "telephone_number": "937-426-2212",
            "fax_number": "937-426-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHL",
        "first_name": "THOMAS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "2647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000330227",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Stachwell
• Shawn Henry Stacy, LPN
• Lorie Staffan
• Stahl Vision Inc
• Brian Ray Stahl, M.D.
• David A Stanczyk, DMD
• Star Pathways
• Star Pathways
• Margaret Stark, OT
• Sarah Stauffer

• Optometrist in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.