Active NPI
Mark E Stempihar, M.D., P.C.
Doing business as Great Lakes Eye Specialists
- Optometrist
- Ironwood, MI
National Provider Identifier
1609960863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901003062
- Legal business name
- MARK E STEMPIHAR, M.D., P.C.
- Doing business as
- Great Lakes Eye Specialists
- Practice address
- E6112 E Bluffview Rd
Suite 102
Ironwood, MI 49938-9367 - Phone
- (906) 932-1436
- NPI assigned
- Oct 3, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Pamela Bretall
- Title
- Business Administrator
- Phone
- (906) 932-1436
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901004267 | MI | |
| Optometrist | 152W00000X | 4901003062 | MI | Primary |
Addresses
Primary practice location
E6112 E Bluffview Rd
Suite 102
Ironwood, MI 49938-9367
Mailing address
E6112 E Bluffview Rd
Suite 102
Ironwood, MI 49938-9367
Phone (906) 932-1436
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4733142 | Medicaid | MI |
Other names 1
- Great Lakes Eye Specialists
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Ironwood, MI
- NPI 1255323531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1609960863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "E6112 E BLUFFVIEW RD",
"address_2": "SUITE 102",
"city": "IRONWOOD",
"state": "MI",
"postal_code": "499389367",
"telephone_number": "906-932-1436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "E6112 E BLUFFVIEW RD",
"address_2": "SUITE 102",
"city": "IRONWOOD",
"state": "MI",
"postal_code": "499389367",
"telephone_number": "906-932-1436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK E STEMPIHAR, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BRETALL",
"authorized_official_first_name": "PAMELA",
"authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
"authorized_official_telephone_number": "906-932-1436",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901004267",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901003062",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4733142",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Great Lakes Eye Specialists",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ironwood, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.