Willard J Stamp, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2549/T972 Issued in OH

Practice address

389 N Ellsworth Ave
Salem, OH 44460-2805

Phone

(330) 332-1200

Fax

(330) 332-1200

NPI assigned

Oct 1, 2006

Last updated

Mar 23, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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.

• Willard J. Stamp

  • Durable Medical Equipment & Medical Supplies
  • Salem, OH
  • NPI 1083886329
  NPD (past) Authorized official
• Dr Rebecca J W Brown LLC

  • Optometrist
  • Salem, OH
  • NPI 1023388550
  NPD (past)

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

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206230400000",
    "number": "1518050806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 N ELLSWORTH AVE",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602805",
            "telephone_number": "330-332-1200",
            "fax_number": "330-332-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 N ELLSWORTH AVE",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602805",
            "telephone_number": "330-332-1200",
            "fax_number": "330-332-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMP",
        "first_name": "WILLARD",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-01",
        "last_updated": "2008-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "2549/T972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU OF WORKERS COMP",
            "identifier": "3409444920",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8368332",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smilewright Family Dental
• Smilewright Family Dental, LLC
• Edward Smith
• Robert Earl Smith, D.P.M.
• Crystal Sodergren
• State of the Heart, LLC
• Julie Ann Stefanec, LD
• Brian B Steff, MA-CCC/SLP
• Natalee Marie Stewart
• Vicki L Stone, COTA/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2008; 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.