David Thomas Stark, MD, PHD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A133113 Issued in CA

Practice address

2830 W Main St
Visalia, CA 93291-4331

Phone

(559) 636-1000

Fax

(599) 636-3937

NPI assigned

Aug 20, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Louisiana State University School of Medicine in New Orleans, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ventura Eye Institute, IncGroup PAC ID 0749473908, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

66.35 of 100Reported as group

Quality

65

Promoting interoperability

52

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Ventura Eye Institute, Inc

  • Specialist
  • Camarillo, CA
  • NPI 1710219662

  Ophthalmology

  Medicare reassignment Care Compare group NPD
• Sierra Eye Medical Group Inc.

  • Ophthalmology Physician
  • Visalia, CA
  • NPI 1649214388
  Medicare reassignment NPD
• Sierra Eye Medical Group Inc.

  • Eyewear Supplier
  • Visalia, CA
  • NPI 1164478491

  Ophthalmology

  NPD
• Golden State Eye Medical Group Inc

  • Ophthalmology Physician
  • Bakersfield, CA
  • NPI 1205847746
  NPD (past)
• Mark Kislinger M.D., Inc.

  • Ophthalmology Physician
  • Glendora, CA
  • NPI 1215089594
  NPD (past)

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1528491990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 W MAIN ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914331",
            "telephone_number": "559-636-1000",
            "fax_number": "599-636-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 W MAIN ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914331",
            "telephone_number": "559-636-1000",
            "fax_number": "599-636-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "DAVID",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-20",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A133113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN AND SURGEON LICENSE",
            "identifier": "A133113",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dstark@sierraeye.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant Sierra Eye Group email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2830 W Main St",
            "city": "Visalia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "932914331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brian Lee Stagg, ED.S.
• Miroslav Mike Stanic, D.D.S.
• Michael Stanley
• Morgan Stanley, DO
• Starbright Hospice Care Southern Inc
• Clayton Starnes, DO
• Starr-Wood Cardiac Group of Visalia Medical Corporation, PC
• Phillip Edward Starshak, MD
• State Health Care Dual Diagnosis
• Steele'S Visions Inc

• Ophthalmology Physician in Visalia, CA
• Providers in Visalia, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.