Bruce I Stark, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD022743E Issued in PA

Practice address

915 Old Fern Hill Rd
Building B Suite 200
West Chester, PA 19380-4269

Phone

(610) 696-1230

Fax

(610) 918-0803

NPI assigned

Jul 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Chester County Eye Care Assoc PC

  • Ophthalmology Physician
  • West Chester, PA
  • NPI 1588666200
  Medicare reassignment NPD
• Chester County Eye Care Associates, PC

  • Ophthalmology Physician
  • West Grove, PA
  • NPI 1124353172
  NPD
• Turks Head Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • West Chester, PA
  • NPI 1881687614
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1689674921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 OLD FERN HILL RD",
            "address_2": "BUILDING B SUITE 200",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804269",
            "telephone_number": "610-696-1230",
            "fax_number": "610-918-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 OLD FERN HILL RD",
            "address_2": "BUILDING B SUITE 200",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804269",
            "telephone_number": "610-696-1230",
            "fax_number": "610-918-0803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 W Lincoln Hwy",
            "address_purpose": "LOCATION",
            "city": "Exton",
            "state": "PA",
            "postal_code": "193412547",
            "country_code": "US",
            "telephone_number": "610-696-1230",
            "fax_number": "610-696-2341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 Woodview Rd Ste 125",
            "address_purpose": "LOCATION",
            "city": "West Grove",
            "state": "PA",
            "postal_code": "193909251",
            "country_code": "US",
            "telephone_number": "610-696-1230",
            "fax_number": "610-696-2341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STARK",
        "first_name": "BRUCE",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "PA",
            "license": "MD022743E",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD022743E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012038590007",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001203859",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Stant, PT, DPT, ATC
• Jennifer L Stanton
• Michelle Stanton
• Michael Stanwood, PT, ATC
• Tara Olivia Starita
• Susan Starke, CRNP
• Sophia Starvaggi, OTD, OTR
• Jennifer States
• Megan Steber
• Faith Stefan, CRNA

• Ophthalmology Physician in West Chester, PA
• Providers in West Chester, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.