Active NPI
Amy Kristin Stamm, O.D.
- Optometrist
- Seneca, PA
National Provider Identifier
1609990332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG1355
- Practice address
- 3216 State Route 257
Duawl Professional Plaza #7
Seneca, PA 16346-0208 - Phone
- (814) 677-2685
- Fax
- (814) 677-2686
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG1355 | PA | Primary |
Addresses
Primary practice location
3216 State Route 257
Duawl Professional Plaza #7
Seneca, PA 16346-0208
Mailing address
PO Box 208
Seneca, PA 16346-0208
Phone (814) 677-2685
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 167600 | Other | PA | LUXOTTICA PROVIDER ID |
| 397485 | Other | PA | NVA |
| 007698243 0003 | Medicaid | PA | |
| ST645829 | Other | PA | BLUE CROSS BLUE SHIELD |
| 9176346 | Other | PA | UPMC DORAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2000
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3216 State Route 257
Seneca, PA 16346-2432
Phone (814) 677-2685
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG1355 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stamm Family Optical P.C. | Current | Accepting new patients |
Locations
3216 State Route 257
#7
Seneca, PA 16346
Phone (814) 677-2685
3216 State Route 257
Seneca, PA 16346
Phone (814) 677-2685
Organizations & group practices 1
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.
-
- Clinic/Center
- Seneca, PA
- NPI 1306020540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197244800000",
"number": "1609990332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 208",
"city": "SENECA",
"state": "PA",
"postal_code": "163460208",
"telephone_number": "814-677-2685",
"fax_number": "814-677-2686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3216 STATE ROUTE 257",
"address_2": "DUAWL PROFESSIONAL PLAZA #7",
"city": "SENECA",
"state": "PA",
"postal_code": "163460208",
"telephone_number": "814-677-2685",
"fax_number": "814-677-2686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAMM",
"first_name": "AMY",
"middle_name": "KRISTIN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2007-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG1355",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LUXOTTICA PROVIDER ID",
"identifier": "167600",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NVA",
"identifier": "397485",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007698243 0003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "ST645829",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC DORAL",
"identifier": "9176346",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seneca, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.