Mervin W Stoltzfus

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001396 Issued in PA

Practice address

316 Newport Ave
Christiana, PA 17509-1312

Phone

(610) 593-6670

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Christiana Eyecare LLC

  • Optometrist
  • Christiana, PA
  • NPI 1467294298
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1669497889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75",
            "city": "CHRISTIANA",
            "state": "PA",
            "postal_code": "175090075",
            "telephone_number": "610-593-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 NEWPORT AVE",
            "city": "CHRISTIANA",
            "state": "PA",
            "postal_code": "175091312",
            "telephone_number": "610-593-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLTZFUS",
        "first_name": "MERVIN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0546535",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trenton Elliot Shuke
• Karen Simons, PTA
• Robin Lynn Skosko, CRNP
• Snook Chiropractic and Nutrition Center, P.C.
• Rickey Lee Snook, D.C.
• George Hutton Stuppy, D.D.S.
• T.W. Ponessa and Associates Counseling Services, Inc.
• Lauren Elizabeth Fadely Trainor, CNM, WHNP, IBCLC
• H Keith Weiss, DO
• Wellspan Medical Group

• Optometrist in Christiana, PA
• Providers in Christiana, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.