Organization Active NPI

Mark E Stempihar, M.D., P.C.

Doing business as Great Lakes Eye Specialists

  • Optometrist
  • Ironwood, MI
National Provider Identifier
1609960863
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003062 Issued in MI
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4733142MedicaidMI

Other names 1

  • Great Lakes Eye Specialists Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.