Organization Active NPI

T. R. Stahl & Assoc. Inc.

  • Optometrist
  • Beavercreek, OH
National Provider Identifier
1740330703
Registry record updated Jan 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
T. R. STAHL & ASSOC. INC.
Practice address
1370 N. Fairfield Rd
Beavercreek, OH 45432-2675
Phone
(937) 426-2212
Fax
(937) 426-3975
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2018

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

Authorized official

Name
Alice Conrad
Title
Billing Manager
Phone
(937) 258-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1370 N. Fairfield Rd
Beavercreek, OH 45432-2675

Mailing address

3085 Woodman Dr Ste 100
Dayton, OH 45420-1159
Phone (937) 258-1515

National Provider Directory

National Provider Directory

Locations

3140 Dayton Xenia Rd
Beavercreek, OH 45434
Phone (937) 426-2212

8923 Kingsridge Dr
Dayton, OH 45458
Phone (937) 312-1212

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515024000000",
    "number": "1740330703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 WOODMAN DR STE 100",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454201159",
            "telephone_number": "937-258-1515",
            "fax_number": "937-258-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 N. FAIRFIELD RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322675",
            "telephone_number": "937-426-2212",
            "fax_number": "937-426-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T. R. STAHL & ASSOC. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2018-01-04",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "937-258-1515"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; 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.