James C Stark, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

949 Issued in OK

Practice address

2123 W 6TH Ave
Stillwater, OK 74074-4136

Phone

(405) 372-3724

Fax

(405) 743-1042

NPI assigned

Jun 14, 2006

Last updated

Sep 5, 2008By 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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220572800000",
    "number": "1598708950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 W 6TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744136",
            "telephone_number": "405-372-3724",
            "fax_number": "405-743-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 W 6TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744136",
            "telephone_number": "405-372-3724",
            "fax_number": "405-743-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "JAMES",
        "middle_name": "C",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2008-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GOVERNMENT BENEFITS ADMINISTRATORS",
            "identifier": "0210790001",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410019936",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100766010A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra Sue Stafford, COUNSELOR
• Bobby Staneart
• Sheila Joann Stanek, DO
• Stanley Richard Ray, PH.D., PC
• Jessica Stanley
• Rachel A. Starnes
• Starting Point II
• Jacque Ann Stedman, R.D.
• Lora Steen, LPC- S
• Stephen H Miller DDS PC

• Optometrist in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.