Active NPI
Sara Patricia Stubblefield, O.D.
- Optometrist
- Columbus, OH
National Provider Identifier
1508084898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4319 T882
- Practice address
- 4427 Crossroads Ctr
Co Todd Chontos OD
Columbus, OH 43232-4908 - Phone
- (614) 963-0195
- Fax
- (614) 863-2701
- NPI assigned
- Apr 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4319 T882 | OH | Primary |
Addresses
Primary practice location
4427 Crossroads Ctr
Co Todd Chontos OD
Columbus, OH 43232-4908
Mailing address
289 Cross Country Loop
Westerville, OH 43081-3564
Phone (614) 898-3874
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OH4319 | Other | OH | EYEMED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4319 | OH | MD | Clinical Psychologist |
| 4319 T882 | OH | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1508084898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "289 CROSS COUNTRY LOOP",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430813564",
"telephone_number": "614-898-3874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4427 CROSSROADS CTR",
"address_2": "CO TODD CHONTOS OD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432324908",
"telephone_number": "614-963-0195",
"fax_number": "614-863-2701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUBBLEFIELD",
"first_name": "SARA",
"middle_name": "PATRICIA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "4319 T882",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "OH4319",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.