Individual provider Active NPI

Karl Steven Stoler, O.D.

  • Optometrist
  • Mentor, OH
National Provider Identifier
1689711814
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4316T161 Issued in OH
Practice address
7850 Mentor Ave
Mentor, OH 44060-5520
Phone
(440) 974-3399
Fax
(440) 255-9799
NPI assigned
Jan 30, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4316T161 OH Primary

Addresses

Primary practice location

7850 Mentor Ave
Mentor, OH 44060-5520

Mailing address

6741 Ayleshire Dr
Solon, OH 44139-3895
Phone (440) 519-1707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20080110000302 OH Practitioner - Optometry 8729168166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1991
Medicare assignment
May accept Medicare assignment
Group practices
Karl S. Stoler, O.D. and Associates, Inc.Group PAC ID 0547340986, 4 clinicians

Practice addresses (Care Compare)

7850 Mentor Ave
Suite 566
Mentor, OH 44060-5580
Phone (440) 974-3399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4316T161OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Karl S. Stoler, O.D. & Associates, Inc. Optometrist CurrentSince Oct 24, 2007 Accepting new patients

Locations

7850 Mentor Ave
Mentor, OH 44060
Phone (440) 255-6285

7850 Mentor Ave
Ste 566
Mentor on Lk, OH 44060
Phone (440) 974-3399

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689711814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6741 AYLESHIRE DR",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441393895",
            "telephone_number": "440-519-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7850 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605520",
            "telephone_number": "440-974-3399",
            "fax_number": "440-255-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLER",
        "first_name": "KARL",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4316T161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.